Distance Education Survey for Digital Capture

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1. Title of Session
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2. Date of program viewing
MM DD YYYY HH MMAM/PM
Date and Time
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:
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3. Your Name
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4. AICP ID (6-digit APA ID #)
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5. Did this program meet or exceed your expectations?
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6.

Presenter Names:

(If your program had only one or two presenters, type N/A in the remaining boxes.)

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7. The presenter was knowledgeable about program content.
Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A
Presenter One
Presenter Two
Presenter Three
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8. The presenter delivered the material well.
Strongly AgreeAgreeNeutralDisagreeStrongly DisagreeN/A
Presenter One
Presenter Two
Presenter Three
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9. This program prepared me to do my job better.
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10. This program introduced me to new ideas or provoked me to think more critically about planning.
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11. This topic and the issues discussed were relevant to my community, now or in the future.
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12. This program presented information that was:
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13. Why did you participate in this course? Choose all applicable responses.
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14. List three facts or lessons you learned during this program.
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