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* 1. Name:

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* 2. Thinking of your current teaching assignment (grade/subject(s)), how happy are you? 

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* 3. Comments related to question 2 (optional)

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* 4. If I could, I'd make the following changes to my teaching assignment:

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* 5. I think the students here would benefit from: (either a particular course or a certain topic/area of study - i.e. career planning)

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* 6. Something the admin needs to know is....(optional)

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