Test – Contemplative Outreach of St. Louis

Name

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Date of Event(Required)

(The time parameter for this field can be ignored, just put the date of the event attended.)

Reflections

Would you like to give reflections about your experience with the event?

Concepts

What key concepts or insights felt most important to you?

Questions

Were there ideas, positions, or assumptions you wanted to challenge or question? Any suggestions?

Insights

Did you experience any “aha” moments of sudden realization or understanding?

Connections

What connections did you draw between the presentation and your own life?

Program Feedback

Feedback

Would you like to give feedback about this program?

Future

Do you have suggestions for future programs or topics you’d like us to go deeper into?

Suggestions

Any thoughts about the program’s pace, schedule, location or suggestions?

Offering of Food

For some of our in-person events, we currently provide a light meal before the program. Many people enjoy this time of connection, but it also takes resources to prepare each month.Questions: Do you find the meal helpful for your experience? How is the timing for it? Do you have suggestions to make it more manageable (financially or with volunteer support)? Would you still come if the meal were simplified or discontinued? Any suggestions?

Interests

Would you like to give us information about your interest in future events and programs?

Explore

Which of these would you be most interested in exploring in the future? (Check all that apply.)

Other Interests

Please describe below

Volunteer Opportunities

Service

Would you be open to occasionally serving on one of our teams? (Check any that interest you)

Service Thoughts

Please describe below:

Contact Info

Contact Preferences

I prefer to remain anonymous

Name(Required)

First Last

Email(Required)

Phone

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Event Name