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MS Ambassador Event Tracking and Feedback Form
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Ambassador Name
Your answer
Date of Event:
*
MM
/
DD
/
YYYY
Location of Event:
*
Your answer
Total Volunteer Time (hrs):
*
Count the time from start to finish. Include time it took you to drive to event, set up, take down, etc.
Your answer
Company or Organization Hosting the Event:
*
Your answer
Type of Event:
Employee Giving Campaign/Fair
Heath or Wellness Fair
Presentation related to a Walk or Bike Event
Other
Clear selection
Approximate Number of Attendees:
Your answer
About how many attendees did you interact with?
Your answer
Did you receive sufficient information prior to the event?
i.e. location, parking, contact information, times, what to bring, what to expect, etc.
Yes
No, when I asked for more information my staff partner or program manager did not respond.
Just about, I seemed to manage.
Clear selection
Please rate the atmosphere where the event took place (space and layout of room, adequacy of parking, personal comfort):
Very Organized and Comfortable
1
2
3
4
5
Unorganized and Uncomfortable
Clear selection
Would you recommend the MS Society or an MS Ambassador attend this event in the future?
Please explain why or why not.
Yes
No
Clear selection
Who is your Program Manager or Staff Partner?
Maxine Cooper (North Texas)
Melanie Zumdieck (Houston, Austin)
Christina Prieto (San Antonio, West Texas, New Mexico)
Lee Kilborn (Arkansas, Louisiana)
Jason Klaussen (Oklahoma)
Other
Clear selection
Comments:
Your answer
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