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2. Contact Information [Optional]

   Please include contact information if you wish to be contacted pertaining to what you are sharing here.

4. First Name
5. Last Name
7. Email Address
8. Phone Number
10. Title of Event*
11. Event Date/Time*
    Event Date/Time

    Event Date/Time
13. Are you a Danvers resident?

    1. Yes, I live here.

    1. No, I'm visiting.
15. Please indicate the degree to which you agree with the following statements.
17. I enjoyed this event.*
    -- Select One --DisagreeSomewhat DisagreeSomewhat AgreeAgree
19. I would like to see more events like this one.*
    -- Select One --DisagreeSomewhat DisagreeSomewhat AgreeAgree
21. As a result of this event, I feel more connected to the Danvers community.*
    -- Select One --DisagreeSomewhat DisagreeSomewhat AgreeAgree
23. What did you like most about this event?*
25. What could be improved about this event?*
27. Anything else you would like the organizers to know?
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field