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Please tell us about yourself. No one will know how you answered the questions so please answer honestly. The information you share with us will help us to be better teachers. Thanks!

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* 1. Gender:

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* 2. What is the name of your classroom teacher (NOT your Alive & Well instructor)?

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* 3. Click on the name(s) of your Alive & Well instructor.

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* 4. What did you think of your Alive & Well instructor and his/her teaching style?

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* 5. What topics did Alive & Well educate you about that you did not know before? (We may use your responses on our newsletters or promotional materials, although your name will not be attached.)

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* 6. Which of the following topics would you like to learn about in the future?

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