Program Title:

Date:

Time:

Location:

Sponsoring/Co-Sponsoring Committee:

Audience Total:

# of YALSA Members:

# of Non-Members:

1. Did the program meet its planned goals and objectives? Please explain.
   
2. How did you feel the audience responded to the program?
   
3. Please comment on the presenter(s). Were they responsive? Would you use them again?
   
4. How appropriate was the meeting area?
   
5. If you were to do this program again, what changes would you recommend?
   
6. Was there adequate YALSA administrative/organizational support in planning and executing the program? Please explain.
   

Please add any additional comments:

Member in Charge:

Address:

City/State/Zip:

Phone Number:

FAX:

e-mail: