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* 1. Name

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* 2. Which map did you borrow?

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* 3. Date of your Event

Date

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* 4. Name of your school/organization

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* 5. Name of your school district

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* 6. County where your school/organization is located?

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* 7. How many people attended your event?

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* 8. How many students directly engaged in your event?

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* 9. Who were the students that participated?

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* 10. Did you use one or both of the Giant Map Manuals avaliable through the C-GEO website?

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* 11. If yes, which one(s)

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* 12. On a scale of one to five, (five being the most useful and one being the least), please rate how useful you found the manual(s)

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* 13. Did you create any lessons of your own for using the map?

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* 14. If yes, would you be willing to share them with C-GEO?

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* 15. Is this the first time you have borrowed this map?

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* 16. If this is not the first time, approximately how many times including this one, have you borrowed the map?

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* 17. How frequently have you borrowed the map?

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* 18. On a scale of one to five (five being the highest), please rate how valuable of a resouce did you find the giant map to be?

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* 19. Did you take photos at your event?

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* 20. Would you be willing to share your photos with C-GEO for use in our newsletter or possibly promotional materials (you would need to include a photo release form any individuals who are identifiable in the photos). If you wish to share photos please send them to geogall@pdx.edu

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* 21. Please add any additional comments you would like to make.

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