WiSTEM2D Evaluation

If you are submitting data for more than one event in a series you can complete this survey at the end of the event series. Contact crandazz@its.jnj.com if you have any questions. 

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* 2. Name of Country/Area Champion

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* 3. Event Name

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* 4. Event Dates

Date
Date

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* 5. City/Town:

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* 6. State/Province

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* 8. Did you work with a partner?

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* 9. Activity used

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* 10. Student ages:

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* 11. Total number of attendees (students):

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* 12. Number of female students:

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* 13. Number of J&J volunteers

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