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Please give us your honest, anonymous feedback on the program.

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* 1. Full Name:

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* 2. What was the strongest part of the program for you?

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* 3. What was the weakest part of the program for you?

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* 4. Overall, how was the program in helping you develop as an Entrepreneur?

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* 5. What difference has this program made in your life?

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* 6. Would you recommend this program to others?

Please tell us about how helpful the Change it Up! staff was.

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* 7. Facilitator - Teaching

  Yes No Sometimes
The Facilitator was prepared for sessions
The Facilitator was well organized
The Facilitator made information easy to understand
The Facilitator was able to manage and engage the group
The Facilitator helped me overcome personal barriers to succeed
The Facilitator believed in me and my ability to succeed
The Facilitator did whatever was needed to help students learn and do well

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* 8. The Facilitator’s overall effectiveness:

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* 9. The Assistant/Coach - Coaching/Mentoring

  Yes No Sometimes
The Assistant/Coach really listened to me
The Assistant/Coach helped me to recognize my strengths
The Assistant/Coach helped me to overcome barriers
The Assistant/Coach believed in me and my ability to succeed.
The Assistant/Coach did whatever was needed to help students succeed

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* 10. The Assistant/Coach’s overall effectiveness:

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* 11. Please add any other comments about the CIU-E staff:

Thank You!

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