Sample Program Evaluation Form Page 2

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PROGRAM CONTENT RATING
Low/Poor
High/Excellent
Not Applicable

To what extent did the program content relate to the
N/A
program objectives?
N/A
Rate the contribution of this session to your overall knowledge of
the subject.
N/A
Rate your overall degree of satisfaction with this session.
Rate your level of expertise in this subject prior to this session.
N/A
Please print clearly
Comments: _____________________________________________________________________________________________
Name : _________________________________________________________________________________________
e-mail:__________________________________________________________________________________________
site address:_____________________________________________________________________________________
Thank you for attending this P.A.C.E. approved program & completing this Evaluation
PLEASE e-mail this completed evaluation to
or print it out and fax it to 610-688-0700.
Your PACE certificate will be sent to you electronically

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