Participant Evaluation Form

Clock In May 15: Pledge-A-Thon for Workplace Equality

Thank you for participating in Clock In. Please take a few minutes to give us some valuable feedback about your participation.

Step 1: Event Report
Briefly describe your Pledge Activity:

How many people signed the pledge?
Do you consider your activity a success?
Why or why not?

What information, resources and materials were most helpful to you in planning and carrying out your Clock In Pledge Activity?

What suggestions do you have for how we can improve Clock In?
Step 2: Your Contact Information
First name
Last name
Email
Organization (if applicable)
Address Line 1
Address Line 2
City
State/Province
Postal Code
Phone