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2. Date:*
   Date:
3. Your Email Address (Optional):
4. Event Name:*
6. Subjects Covered:*
7. Number of People Attending:*
9. Name(s) of person(s) providing instruction (if Known):*
11. Please answer the following questions with (1) being the least and (5) being the best.
13. Subject Matter presented was current, thorough and easy to understand.*

    1. N/A
    2. 1
    3. 2
    4. 3
    5. 4
    6. 5
15. The information presented will help my family be safer in our home and our community.*

    1. N/A
    2. 1
    3. 2
    4. 3
    5. 4
    6. 5
17. I am better prepared to respond to an emergency because of the information I learned in this presentation.*

    1. N/A
    2. 1
    3. 2
    4. 3
    5. 4
    6. 5
19. I would recommend this presentation to a friend who would like to learn more about how to respond to an emergency*

    1. N/A
    2. 1
    3. 2
    4. 3
    5. 4
    6. 5
21. Presenter was well prepared and had a thorough knowledge of the subject matter.*

    1. N/A
    2. 1
    3. 2
    4. 3
    5. 4
    6. 5
23. Please list any suggestions that you may have to improve the learning experience.
25. Please list any other classes that you may be interested in taking.
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