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* 1. Name of  Event Attended (ex. breast cancer support group)

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* 2. Date of event

Date

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* 3. I enjoyed attending this event.

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* 4. The time of this event was convenient.

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* 5. The information from this event was useful and relevant.

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* 6. The presenter or facilitator was engaging.

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* 7. I would suggest this event to friend, family member or someone I know who has been affected by cancer.

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* 8. How could we improve this event? 

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* 9. How did you hear about this event?

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* 10. Other feedback about this event:

T