Evaluation Feedback Survey

Evaluation Feedback Survey

Recitals

WHEREAS, Client Name: ; Entity Type: Corporation Nonprofit Individual

WHEREAS, Service Provider Name: ; Contact:

WHEREAS, the parties desire that the Service Provider perform evaluation services, administer this Evaluation Feedback Survey and deliver findings under the terms set forth in this Agreement and Survey instrument.

Scope of Work

Participant Information

Evaluation Questions (1 = Strongly Disagree, 5 = Strongly Agree)

1. The objectives of the activity were clearly communicated.

1 2 3 4 5

2. The materials and content were of high quality.

1 2 3 4 5

3. Communication from the Service Provider was timely and clear.

1 2 3 4 5

4. The evaluation findings are useful and actionable.

1 2 3 4 5

5. Overall satisfaction with the Service Provider.

1 2 3 4 5

Payment Terms

Total Fee: $ . Payment schedule:

Late payment penalty: on overdue balances, calculated monthly.

Term and Termination

Contract Start Date: — Contract End Date:

Termination requires written notice delivered at least days prior to the effective termination date. Termination for material breach may be immediate if the breaching party fails to cure within a commercially reasonable cure period.

Confidentiality

The parties acknowledge that in the course of performance, Confidential Information may be disclosed. Confidential Information means non-public information disclosed in any form that is identified as confidential or that a reasonable recipient would understand to be confidential. Each party shall: (a) use Confidential Information solely for purposes of performing obligations under this Agreement; (b) restrict disclosure to employees or agents who have a need to know and are bound by confidentiality obligations; and (c) take commercially reasonable measures to prevent unauthorized disclosure. Exceptions include information that is or becomes public through no fault of the recipient, or that is required to be disclosed by law, provided the disclosing party gives prompt notice where legally permitted.

I acknowledge and agree to the Confidentiality obligations set forth above.

Governing Law

This Agreement and Survey shall be governed by the laws of the State of , without regard to conflicts of law principles.

Entire Agreement

This instrument, including the attached Scope of Work and any exhibits, constitutes the entire Agreement between the parties with respect to the subject matter herein and supersedes all prior negotiations, representations or agreements, whether written or oral. Any amendment or waiver must be in writing and signed by both parties.

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