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Questions marked with an asterisk (*) are mandatory.
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* Title of CD-ROM, podcast, or program
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* Date of program viewing
| Month | Day | Year | Time |
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4
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* AICP ID (6-digit APA ID #)
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* Did this program meet or exceed your expectations?
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6
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* Presenter Names:
(If your program had only one or two presenters, type N/A in the remaining boxes.)
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7
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* The presenter was knowledgeable about program content.
1 Strongly Agree | 2 Agree | 3 Neutral | 4 Disagree | 5 Strongly Disagree | N/A |
| Presenter One |
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8
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* The presenter delivered the material well.
1 Strongly Agree | 2 Agree | 3 Neutral | 4 Disagree | 5 Strongly Disagree | N/A |
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9
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* This program prepared me to do my job better.
| Strongly Agree |
| Agree |
| Neutral |
| Disagree |
| Strongly Disagree |
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10
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* This program introduced me to new ideas or provoked me to think more critically about planning.
| Strongly Agree |
| Agree |
| Neutral |
| Disagree |
| Strongly Disagree |
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11
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* This topic and the issues discussed were relevant to my community, now or in the future.
| Strongly Agree |
| Agree |
| Neutral |
| Disagree |
| Strongly Disagree |
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12
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* This program presented information that was:
| Too Advanced |
| Advanced |
| Just Right |
| Basic |
| Too Basic |
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13
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* Why did you participate in this course? Choose all applicable responses.
| CM credit |
| Topic was of interest |
| Accessible (distance education, convenient location, other) |
| Required |
| Suggested by my employer |
| Other, please specify |
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14
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* List three facts or lessons you learned during this program.
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