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* 1. Which PLI event did you attend? Please select from the dropdown box below.

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* 2. Your Full Name (this will be the name that appears on your certificate so please ensure this is accurately typed, including capitals)

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* 3. Your Job Role

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* 4. Learning Objectives:  Were my learning objectives met by this event?

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* 5. List your three Key points I have taken away from this event?

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* 6. Application to personal practice – is there anything I will change as a result of what I have heard?

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* 7. How might I take this to the next stage?

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* 8. Do I have any further learning needs in this area?  How will I pursue this?

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* 9. When will I review what I have learned?

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* 10. Any additional comments/feedback

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* 11. Please score the event you have attended today from 1-5 *

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