Abortion Presentation Feedback Form Name Sex * Female Male Age * School Name * Religion (if any): On a scale of 0 to 10, please select the number which best identifies your view on abortion BEFORE the presentation. ( 0 = SUPPORT all abortion | 10 = AGAINST all abortion ) * 5 Please explain your view: * On a scale of 0 to 10, please select the number which best identifies your view on abortion AFTER the presentation ( 0 = SUPPORT all abortion | 10 = AGAINST all abortion ): * 5 Please explain your view: * What do you remember most about the presentation? * Did you find anything confusing, or do you have any questions that weren’t answered? * Yes No If yes, briefly explain: If your friend is facing an unplanned pregnancy, would you share the information you learned from this presentation? * Yes No Briefly explain why: * Speaker’s Name: * Please rate the speaker: * 1 2 3 4 5 6 7 8 9 10 Would you recommend this presentation to someone else? * Yes No Are there any further comments you wish to share? Please proceed to the end of the feedback form to submit. For more information on how you can get involved, such as volunteer opportunities, please sign up below (OPTIONAL): First Name Last Name Email Address Phone Number How can we best reach you? Email Text Facebook Instagram