LBNL Event Feedback Form
Use this form to provide feedback on a drill/exercise or actual event.  Please use SMART (Specific, Measurable, Achievable, Realistic, and Timely) feedback, when possible.  SES-EM will log feedback and ensure the appropriate stakeholders are involved in action items.  Thank you for your participation and for giving us the opportunity to improve!
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Name or email (optional)
1. What event is this for? *
2. What went well?
3. What needs to be improved?  Please indicate priority (low/medium/high) if applicable.
4. What did you learn?
5. Did you take any action items for yourself as a result of this event?  Please describe.
6. Please provide any additional information.
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