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Participant Information Form
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Name
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Title
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Would you like to be notified about slide show availability from today’s session?
Would you like to be contacted by the speaker to discuss how we can support you?
What kind of support would be most helpful to you?
Phone Conference
Video Conference (Zoom, Information Webinar)
School/District Campus Visit
Feedback. My understanding of the topic was enhanced.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. The session was of high quality.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. This session will help me to improve my instructional practice.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. I plan to try some of the ideas I heard in today’s session.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. The presenter was knowledgeable of the topic.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. The presenter kept my interest.
Strongly Disagree
Disagree
Agree
Strongly Agree
Feedback. The presenter was organized.
Strongly Disagree
Disagree
Agree
Strongly Agree
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Twitter: @ric_fisher
Phone: 270-618-1463
rflearningdesigns@gmail.com
http://rflearningdesigns.com/