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Brevard MPO
Public Involvement Evaluation Form

This form should be completed for each public involvement evaluation.

Evaluation of:
Planning Study - please specify      
Specific Tool(s) - please specify      
Other - please specify      

 
If this is a study evaluation, is this:
mid-study end of study
List the public involvement tools used during the study:

Description of Study or Tool:      

Audience(s) Targeted for Public Involvement:    




  
Type of Evaluation(s) to be conducted:
Qualitative Survey Statistical Analysis

 
Survey, indicate type:
Face-to-Face Telephone Written Mail-back
Targeted Respondents:




Statistical Analysis, description:    




      

Date Evaluation Began: ___________    Date Completed: __________   

Completed By:      
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