Odehmenan Health Equity Center Anonymous Feedback Form

We acknowledge that it can be challenging to vocalize thoughts, ideas and suggestions in person or in a group. This can be due to power dynamics in the room, large crowds, being unable to attend due to scheduling, or simply having a thought after programming has concluded. We value your feedback at all times, so feel free to share anonymously below. If you have a question, would like a follow-up or to meet, you have the option to provide your name and email.

You are:(Required)

How would you rate the quality of our programming?
How accessible are our programs to you?
Have our programs increased your knowledge about health equity issues?

OPTIONAL

If you wish to have any direct follow-up with Adriana Black, Director of Health Affairs Diversity, Equity and Inclusion, please provide your name and email below.

Leave blank if you wish to remain anonymous.

Name
Email