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* 1. Name:

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* 2. Job Role:

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* 3. Name of Organisation:

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* 4. Date of Speakup Training:

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* 5. Content of Training:

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* 6. Relevance to You:

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* 7. Structure of Delivery:

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* 8. Overall Evaluation:

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* 9. Describe an aspect of the session that was good:

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* 10. Any suggestions for improvement?

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* 11. What have you learned? (What changes will you make?)

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* 12. Suggested areas for further training:

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* 13. Additional comments?

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