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2019 Operation Smile Presentation Feedback Form
This submission form is used to gather feedback about any Operation Smile presenter and gauge the experience from the audience. Thank you in advance for filling this out to help make our impact in the community better!
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First Name
Your answer
Last Name
Your answer
Contact Email
Your answer
Would you like to receive Student Programs' monthly email newsletter?
Yes
No
Clear selection
School or Organization Name
Your answer
City
Your answer
State
Your answer
Position
Teacher
Student
Adult Supporter (Parent, other school faculty, etc)
Other:
Clear selection
Name(s) of person or people presenting Operation Smile
Your answer
Type of Presentation
General Operation Smile Information
World Tour
ULead
Program Info Session (ISLC, MTW, Peace Mission, University Programs, etc.)
Mission Presentation
Final Mile
Other:
Clear selection
How many people were presented to?
1-10
10-15
15-20
20-25
25-50
More then 50
Clear selection
Rank the knowledge of Operation Smile after presentation. 1 being basic information learned and 5 being well-versed in Operation Smile.
1
2
3
4
5
Clear selection
Please comment on additional information/topics you would have liked for the presenter to go more in detail with.
Your answer
Presenter was active and engaging the audience. 1 being barely engaging and 5 being highly engaging.
1
2
3
4
5
Clear selection
Please provide any feedback on the presenter.
Your answer
What was the most surprising lesson learned about the organization?
Your answer
What value do you believe this visit from Operation Smile presented to your audience?
Your answer
Did the presentation/experience leave the audience with a better understanding of the following skill sets/topics? Check all that apply.
Public Speaking
Bullying
Empathy
Cleft Conditions
Global Health Issues
Leadership
Service
Advocacy
Education
Surgical Capacity
Please leave any additional comments or feedback.
Your answer
Once again, thank you for allowing us to present to your audience and we look forward to working with you again in the future.
If you have any additional questions or would like to speak with an Operation Smile Student Programs staff member, please feel free to reach out to us at
student.programs@operationsmile.org
.
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