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* 1. Program Name

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* 2. Date:

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* 3. With 1 being low and 5 being high, we would rate this program:

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* 4. We discovered that we...

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* 5. We learned...

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* 6. After this event, we will take action about what we learned by...

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* 7. To improve this program, we would...

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* 8. Would you attend a similar program in the future?

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* 9. Comments and future program opportunity suggestions:

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