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* 1. Please indicate which type of credit you are seeking?

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* 2. If you are requesting CLE Credit, please complete this form.

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* 3. Course Code | Please list the course code(s) you heard during this session:

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* 4. Please enter your contact information to qualify for credit:

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* 5. Please rate the following:

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* 6. Stated learning objectives were met:

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* 7. Stated prerequisites were appropriate and sufficient:

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* 8. Program materials, including the qualified assessment, if any, were relevant and contributed to the achievement of the learning objectives.

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* 9. Time allotted to the learning activity was appropriate:

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* 10. The presenters were effective:

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* 11. Please help us craft a more forward-thinking and forward-facing TMA. Is there anything else you would like to share about this session?

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