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1. How would you rate the following? (Select one box for each item.)

2. What do you feel were the Facilitator/Instructor’s strengths? (Please be specific)

3. In what ways might this Facilitator/Instructor improve? (Please be specific)

4. How would you rate the following (select one box for each item)

5. Course Content and Materials (select one box for each item)

6. Overall, how would you rate the facilities (or software) where the course was delivered?

7. Overall, how would you rate this course for information and format?

8. Overall, how would you rate this course for usefulness to your profession?

9. Overall, how would you rate this course?

10. Additional Comments...