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1. Please provide your name and e-mail address. We will use the information to create and e-mail your certificate of completion. (Your information will not be shared or dispersed.)

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2. Your role

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3. How satisfied were you with the presentation?

  Disagree Somewhat disagree Neither agree or disagree Somewhat agree Agree
Overall, I was satisfied with the presentation.
The presenter was knowledgeable.
The presenter clarified content in response to questions.
The presentation was easy to follow and understand.
The shared resources will be useful in my work or with my family.

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4. Did you watch the webinar alone or with others?

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5. Would you like to be added to the Head Start National Center on Health e-mail list?

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6. Additional comments (please indicate any thoughts, questions, or suggestions):

Thank you for taking part in the webinar and completing the feedback form!

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