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* 1. What school does this feedback relate to?

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* 2. Are you a School, Police or NGO facilitator?

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* 3. When was workshop component of your Loves-Me-Not implementation?

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* 4. Whole school approach: Besides the Loves-Me-Not workshop component, did this school undertake any of these other components of a whole school approach? [Page numbers refer to the Loves-Me-Not Implementation Guide]

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* 5. Student-led action: After Loves-Me-Not did the students take action themselves to promote healthy relationships in their school or community? [select all that apply]

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* 6. Anything else? Do you have any other comments about Loves-Me-Not?

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