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Community Group Name
   
 
 
 
Date of The Session You Ran
 
 
 
Topic Title
   
 
 
Please rate your experience...
Strongly Agree Agree Unsure Disagree Strongly Agree
I enjoyed coming to the health information session
In have a better understanding of the topic presented
I felt comfortable contributing to the session
Visual aids and/or handouts used were helpful
 
 
 
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How will you use the information from this session?
   
 
 
 
Are there any other health topics you would like to hear about?
   
 
 
 
Other comments?