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* 1. First and Last Name:

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* 2. Degree:

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* 3. Email:

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* 4. Name of program being reviewed

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* 6. Postive Comments:

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* 7. Suggestions:

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* 8. Summarize the intended learning gap briefly in your own words

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* 9. Has any significant aspect of the presentation been neglected in post-survey questions?

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* 10. Do the pre-and post-survey questions show a change in knowledge?

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