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Leadership Through Ability | Dr. Jeffery Cole, ADA President

1. CE Course Evaluation

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* 1. Participant Identification

General Practitioner

Specialist

Please specify Speciality

Please Rate Questions 2-4.
5 = Excellent
1 = Poor

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* 2. Presenter Methods

	5	4	3	2	1	N/A
What overall rating would you give the instructor?	What overall rating would you give the instructor? 5	What overall rating would you give the instructor? 4	What overall rating would you give the instructor? 3	What overall rating would you give the instructor? 2	What overall rating would you give the instructor? 1	What overall rating would you give the instructor? N/A
Were the materials appropriate and useful?	Were the materials appropriate and useful? 5	Were the materials appropriate and useful? 4	Were the materials appropriate and useful? 3	Were the materials appropriate and useful? 2	Were the materials appropriate and useful? 1	Were the materials appropriate and useful? N/A

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* 3. Course Content

	5	4	3	2	1	N/A
To what extent did the course content accomplish the stated educational objectives?	To what extent did the course content accomplish the stated educational objectives? 5	To what extent did the course content accomplish the stated educational objectives? 4	To what extent did the course content accomplish the stated educational objectives? 3	To what extent did the course content accomplish the stated educational objectives? 2	To what extent did the course content accomplish the stated educational objectives? 1	To what extent did the course content accomplish the stated educational objectives? N/A
What overall rating would you give the course content?	What overall rating would you give the course content? 5	What overall rating would you give the course content? 4	What overall rating would you give the course content? 3	What overall rating would you give the course content? 2	What overall rating would you give the course content? 1	What overall rating would you give the course content? N/A

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* 4. Participant Benefits

	5	4	3	2	1	N/A
Rate how well your personal objectives were satisfied.	Rate how well your personal objectives were satisfied. 5	Rate how well your personal objectives were satisfied. 4	Rate how well your personal objectives were satisfied. 3	Rate how well your personal objectives were satisfied. 2	Rate how well your personal objectives were satisfied. 1	Rate how well your personal objectives were satisfied. N/A
To what extent did this course enhance your current knowledge or skill?	To what extent did this course enhance your current knowledge or skill? 5	To what extent did this course enhance your current knowledge or skill? 4	To what extent did this course enhance your current knowledge or skill? 3	To what extent did this course enhance your current knowledge or skill? 2	To what extent did this course enhance your current knowledge or skill? 1	To what extent did this course enhance your current knowledge or skill? N/A

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* 5. Which subject or area of content was most helpful to you?

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* 6. Please provide a valid email address in order to receive a course completion certificate.