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* 1. Title of Streaming Education product, podcast, or program<br>

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* 2. Date of program viewing

Date
Time

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* 3. Your Name

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* 4. AICP ID (6-digit APA ID #)

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* 5. Did this program meet or exceed your expectations?

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* 6.

Presenter Names:

(If your program had only one or two presenters, type N/A in the remaining boxes.)

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* 7. The presenter was knowledgeable about program content.

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Presenter One
Presenter Two
Presenter Three

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* 8. The presenter delivered the material well.

  Strongly Agree Agree Neutral Disagree Strongly Disagree N/A
Presenter One
Presenter Two
Presenter Three

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* 9. This program prepared me to do my job better.

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* 10. This program introduced me to new ideas or provoked me to think more critically about planning.

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* 11. This topic and the issues discussed were relevant to my community, now or in the future.

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* 12. This program presented information that was:

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* 13. Why did you participate in this course? Choose all applicable responses.

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* 14. List three facts or lessons you learned during this program.

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