Musical Performance Feedback Form
Please complete this form for each Creative Aging Mid-South musical performance held at your facility.

* indicates required fields 
  *Facility Name::
  *Performers' Name(s)::
  *Perfomance date:
  *Perfomance time:
  *Total # of people attending:
  *Number of people who are 65+ years old:
  *Number of men in audience who are 65+ years old:
  *Please rate the overall performance:
  *Please rate artists' interaction with the audience:  1 -- There was none
 2 -- Some after the performance
 3 -- Some during the performance
 4 -- Some during and after the performance
  *Did the artist contact you before the performance?:  Yes
 No
  *Was the music too soft or too loud?:  too soft
 just right
 too loud
  *Will schedule these performers again?:  Never
 Possibly
 Definitely
 Anytime I can
  What did you like about the performance?:  The performers' interactions with the audience
 The music was fast and upbeat.
 The music was dance-able.
 The musician's ability to play requests
 The quality of the performance
 Audience members can sing-along
  Comments:
Thank you for completing this form. We use your feedback to ensure that we continue presenting artists that our audiences enjoy.
 

with support from: 
The H.W. Durham Foundation

and
          

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