EmailMe Form - Women's Network Australia

1. Date of the event:

2. Name of the speaker:

3: How would you rate the quality of the speaker:

Excellent

Good

Average

Poor

4. Any additional comments about the speaker or the presentation:

5. Any suggestions about future topics or speakers:

7. Name:

First Last

8. Business name (if applicable):

9. Contact phone number:

10: Contact email address:

I am submitting my feedback anonymously

If you tick this box, you are not required to complete your details above.