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* 2. Program Date and Time

Date
Time

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* 3. Program Title

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* 4. Overall, how would you rate program?

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* 5. Was the program leader well prepared?

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* 6. Did you enjoy the program or learn something new

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* 7. Was the program location convenient?

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* 8. Was the program time convenient?

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* 9. What type of program do you prefer? (You can check more than one)

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* 10. Have you attended park/site programs before?

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* 11. Would you be interested in attending future programs?

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* 12. Your age group is:

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* 13. What county do you live in?

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* 14. Please check all that apply

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* 15. How did you hear about this program?

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* 16. What was the name of the person who led the program?

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* 17. Comments:

T