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Speaker feedback

It is vital that we keep details of all Community groups that support WaterAid as it allows us to understand how best to communicate with them. Therefore, please ensure that you fill in this feedback form after any talk that you are asked to give.

Speaker name:
Group name:
Date of talk:
Group contact name:
Group contact telephone number:
Group contact email address:
Group contact address line 1:
Address line 2:
City:
County:
Group contact postcode:


How did the talk originate?:
How many people heard the talk?:



What visual aids did you use?
(state name of any DVDs used):




Did the group make a donation?:


If so, please specify amount in :




Please specify type of donation:



Do you have any other comments you would like to make?