participant
follow-up

This form is intended for those assisting to recruit for REACH 2019. As you speak with past participants simply fill out a new form for each person you speak with. The information will be compiled and used to help make decisions as we move towards REACH 2019.

Name *
Name
Year(s) Attended *
(select all that apply)
On a scale of 1-5, how well do you feel we did in accomplishing the 4 words we aspire to? *
On a scale of 1-5, how well do you feel we did in accomplishing the 4 words we aspire to?
1 = WORST strongly disagree 5 = BEST strongly agree
AFFIRMED
EQUIPPED
INSPIRED
CONNECTED
What Plans do you have for attending this year? *