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* 1. Full Name

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* 2. Email

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* 3. Training Info

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* 4. Please indicate your level of understanding of the following topics:

  I don't understand. I understand the basic concepts.  I fully understand.
CKC Introduction & Overview
CKC Physical Activity Objectives & Demo
Making It Happen: Physical Activity Box
BASICS: Sample Activity Demo
Making It Happen: Healthy Habits & Nutrition
Peer Teaching or Kickball Activity Demo
Action Planning

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* 5. The Trainer:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Clearly defined training objectives?
Encouraged participation and interaction?
Was knowledgeable and well-prepared?
Was respectful of trainees viewpoints and opinions?
Would you attend another training conducted by this trainer?

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* 6. How will you implement what you have learned today?

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* 7. Please list the specific concepts you gained from today’s training.

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* 8. Please list any suggestions to improve training or other comments you have regarding training.

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