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* 1. Program Name:

* 2. Date:

* 3. With 1 being low and 5 being high, we would rate this program:

* 4. We discovered that we...

* 5. We learned...

* 6. After this event, we will take action about what we learned by...

* 7. To improve this program, we would...

* 8. Would you attend a similar program in the future?

* 9. Comments and future program opportunity suggestions:

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