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* 1. Name (optional)

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* 2. Training location

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* 4. Training date

Date

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* 5. Using a scale of 1 – 5 how would you rate the workshop?
(1 = poor and 5 = excellent)

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* 6. On a scale of zero to ten, how likely are you to recommend this program to a colleague?

0 (not at all likely) 10 (extremely likely)

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* 7. Do you feel that the workshop was relevant to your role?

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* 8. Based on how relevant or useful they are to you, please rate each of the following concepts

  Poor Average Good Excellent
Responsibility & Choice Circles™
The Black Red Continuum™
People/Technical Circle
Template 1,2,3™
Glad> Sure> Sorry™

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* 9. Using a scale of 1 – 5 how would you rate your trainer?
(1 = poor and 5 = excellent)

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* 10. What follow-up to this workshop would you like to see? (Please select all that apply)

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* 11. After completing the workshop I feel ...