Organization name:

Your name:

Your phone:

e.g. (123) 123-1234

Your email address:

Speaker:

Title of talk:

Event date:

Format:

Luncheon    Reception    Dinner    Annual Meeting   
Other    If other, please describe:

Publicity (select all that apply):

Newsletter     Invitation     Email     Website    
Other   If other, please describe:

Audience:  

Number of guests invited:

Number of guests attended:

Was the event for club/org members only?

Yes     No

Speaker:

Would you recommend this speaker to another organization?

Yes     No

Comments:

Evaluation:

Was this event a success?

Yes     No

Did it meet or exceed your board's expectations?

Yes     No

If yes, what contributed most to its success?

If no, what could have been improved?

Is there anything you would change for an event in the future?

Would you host another UC Berkeley Speakers Bureau event in the future?

Yes     No

Why or why not?