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SOMA 2017 CAPCE Evaluation
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How would you like your name to appear on your certificate?



What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Rate the effectiveness of the session as a whole
Rate the overall quality of the program.
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
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Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
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Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
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Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
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Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the effectiveness of the session as a whole
Rate the overall effeciveness of the instructional personnel. 
Rate the ability of the instructor to deliver the content
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Rate the ability of the instructor to deliver the content
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Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the ability of the instructor to deliver the content
Rate the adequacy of audiovisual equipment used to address the activity objectives
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Rate the ability of the instructor to motivate the participant
Participant information (MUST PROVIDE TO RECEIVE CAPCE CREDITS):
State of licensure
State license number
Type/level of license, if applicable
License expiration date (MM/YYYY)
NREMT registration number, if applicable
Next NREMT re-registration date, if applicable
Rate the ability of the instructor to answer questions
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Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
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Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
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Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
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Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
Rate the ability of the instructor to answer questions
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Rate the professinoalist of the instructor
Additional questions/comments about the conference
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Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
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Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Rate the quality of the handouts and audio-visual materials for the session
Additional questions/comments about this session
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