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* 1. Please fill in your CLPC licensure number in the space provided.

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* 2. Speaker 1

  Excellent Good Average Poor
Speaker Evaluation - Overall quality of presentation
Speaker Evaluation - Knowledge of subject matter
Speaker Evaluation - Organization of presentation
Course Evaluation - Rate the session
Course Evaluation - Achieved stated objectives?

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* 3. Please comment on speaker 1 and course strengths/weakness.

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* 4. Speaker 2

  Excellent Good Average Poor
Speaker Evaluation - Overall quality of presentation
Speaker Evaluation - Knowledge of subject matter
Speaker Evaluation - Organization of presentation
Course Evaluation - Rate the session
Course Evaluation - Achieved stated objectives?

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* 5. Please comment on speaker 2 and course strengths/weakness.

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* 6. Speaker 3

  Excellent Good Average Poor
Speaker Evaluation - Overall quality of presentation
Speaker Evaluation - Knowledge of subject matter
Speaker Evaluation - Organization of presentation
Course Evaluation - Rate the session
Course Evaluation - Achieved stated objectives?

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* 7. Please comment on speaker 3 and course strengths/weakness.

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* 8. Speaker 4

  Excellent Good Average Poor
Speaker Evaluation - Overall quality of presentation
Speaker Evaluation - Knowledge of subject matter
Speaker Evaluation - Organization of presentation
Course Evaluation - Rate the session
Course Evaluation - Achieved stated objectives?

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* 9. Please comment on speaker 4 and course strengths/weakness.

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* 10. Would you recommend these presentations to others?

  Yes No
Presentation 1
Presentation 2
Presentation 3
Presentation 4

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* 11. Please comment on the program in general and list suggestions for future programs.

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