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Your Information:

Phase and Session Information:

Online Session Portion:

Please Rate Your Experience


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Fair		 3
Good		 4
Very Good		 5
Excellent

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Online Portion Comments & Suggestions:

What was the most beneficial information or activity in the online session?

What would you have liked more information about in the online session?

Other Comments:

Facilitated Session Portion:

Please Rate Your Experience


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Poor		 2
Fair		 3
Good		 4
Very Good		 5
Excellent

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1  2  3  4  5 

Facilitated Portion Comments & Suggestions:

What was the most beneficial information or activity in the facilitated session?

What would you have liked more information about or more time spent on in the facilitated session?

Other Comments:

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If No Why?

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Yes  No 


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