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Event Date
Name
*
First
Last
Email
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Your Experience
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Rate 1 out of 5
Rate 2 out of 5
Rate 3 out of 5
Rate 4 out of 5
Rate 5 out of 5
Overall, how would you rate your experience with us?
How can we improve?
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We’re sorry you did not have a good experience. Please let us know how we can do better.
How many children did you bring?
*
What are the age groups of the children you brought (select all that apply)?
*
Birth – 3 years
4 – 8 years
9 – 12 years
13 – 18 years
Was this your first Birthright Living Legacy event?
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Yes
No
Would you like to receive Birthright Living Legacy updates for future events?
*
Yes
No
If you are a father, are you interested in joining our fatherhood programs?
*
Yes
No
Maybe, send me more information
I am not a father
Additional comments or suggestions
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Courageous Program
Father & Me Legacy
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