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Please print this evaluation form, write down appropriate answer on each question and Fax to 214-358-0077PARTICIPANT EVALUATION FORM
_________________________________ ____________________________________ CAE Provider Name Date(s) of Program or Course
_________________________________ ____________________________________ Program/Course Title Instructor Name
_________________________________ ____________________________________ Participant¨s Name and License Number Date of Evaluation
Did this course meet its stated objectives?・・・・・・・・・・・・・・・.. ・・.・ Yes No
Did the instructor demonstrate adequate knowledge of the course subject?・・・・・・..Yes No
Did the instructor utilize appropriate teaching methods and was easy to use?・・・・・・Yes No
Do you feel that you will be able to apply what you have learned today to your practice?.. Yes No
Would you recommend this on-line course to other licensed acupuncturists?・・..Yes No
Additional Comments:
If you have a complaint about this course, you may contact the Texas State Board of Acupuncture Examiners at:
TSBAE PO Box 2018 Austin, TX 78768-2018
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