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* 1. Please note which DPG or affiliate CPEU activity you are evaluating.

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* 2. Please note which type of activity you are evaluating.

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* 3. Please add the title of the activity you are evaluating.

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* 4. Please complete the following rating.

  Excellent Good Neutral Could have been better Poor
Quality of the CPEU activity
Content of the CPEU activity

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* 5. Please add your comments/evaluation here.

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* 6. (Optional) If you would like a response, you are welcome to add your info here.

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