Appendix M: Forum program, insert, and evaluation


Program Flyer

flyer side 1flyer pt. 2

Program Insert

To help Warren County bear fruit, please complete this form and leave it in the box on the table.

Name: ___________________________________________

Affiliation: ____________________________________

Address: ________________________________________
_________________________________________________

Phone Number: ___________________________________

Email Address: __________________________________

I would be willing to come to another meeting to plan more detailed action:
Yes No

Please contact me about working toward improving:
Community & Collaboration
Economics
Education
Politics & the People
Race Relations
Recreation
Transportation
Other: ____________________________

Based on tonight's program, I plan to:_____________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

It is not too late to help. If you took this home with you, but would like to help, please contact:
Mr. Bill Kearney
Warren County Recreation Department
By mail at PO Box 619, Warrenton, NC 27589
or call: (252) 257-2272

Program Evaluation

Evaluation of Warren County Meeting

Your input is very important to us. Please take a moment before you leave to give us your thoughts on tonight's meeting. - The Warrenton Coummunity Meeting Planning Committee

Was the meeting useful?
Yes Yes NoNo Not Sure Not sure
   Why/Why not?
Did you learn anything?
Yes Yes NoNo Not Sure Not sure
   Why/Why not?
Did you meet any new people?
Yes Yes NoNo Not Sure Not sure
   Why/Why not?
Will this meeting make a change in anything?
Yes Yes NoNo Not Sure Not sure
   Why/Why not?
Are you personally moved to take action on
anything discussed tonight?
Yes Yes NoNo Not Sure Not sure
   Why/Why not?

Other Comments:

Please hand this in at the "evaluation" box as you leave. Thank You!

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