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* 1. Please tell us date and location of the event:

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* 2. Please answer the questions below based on PARTICIPANT DEMOGRAPHIC (feel free to give us number estimates)

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* 3. Please answer the questions below based on PARTICIPANT INTEREST

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Participants asked discussion provoking questions that helped facilitate conversation
Participants wanted to know learn more and were interested in becoming instructors
Participants seemed engaged and interested throughout the presentation

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* 4. Please answer the following questions based on SETTING

  Strongly Disagree Disagree Neutral Agree Strongly Agree
The room was conducive to learning
The learning environment stimulated idea exchange
The presentation was easy to ready and visually appealing

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* 5. How could this forum have been improved to stimulate better participant interest?

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* 6. Please fill out the information below so we can confirm your survey completion

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