PBS Online Thirteen
Feedback Forms

Videoconference Host Evaluation

Stations, organizations, discussion leaders, and participants, please give us your feedback.

Please print this form and return it by mail or fax to: Lennie Duensing, Associate Director of Outreach, Thirteen/WNET, 356 West 58th St., New York, NY 10019. Fax: 212-560-6992.

Neither wNetStation nor PBS Online is collecting these evaluation forms via the Internet.

BEFORE I DIE
Outreach Report
Videoconference Host Evaluation

Name:

Title:

Station/Organization:

Address:

Telephone:

Fax:


1) Who did you invite to the videoconference?




2) How did your participants respond to the BEFORE I DIE: A NATIONAL CONVERSATION videoconference?







3) What did people find most moving/ pertinent to their lives?






4) What positive feedback did you receive?






5) Were there criticisms of the videoconference?






6) If so, how did you handle them?






7) Did you and your participants find the Viewer's Guide useful in watching the videoconference? Why or why not?






8) What was your discussion like following the videoconference? Did you have a moderator or did your event involve a panel?<






9) Did you plan any other creative activities to follow the videoconference?






10) What issues were brought up at this event?






11) Did everyone participate, or where there people who seemed to dominate the conversations?






12) Did any of the issues get heated?






13) Did people network or share resources?






14) Did people make efforts to get in touch after the videoconference to further discuss these issues?






15) Did people make plans to get together to watch the broadcast?






16) Do you have any suggestions/comments?






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