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A unit of the University System of Georgia
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Program Feedback Survey

This form is to be completed by residents and/or participants


Please complete the following questions as it relates to the program you attended. Place the number of your score by each statement.

5 - STRONGLY AGREE
4 - SOMEWHAT AGREE
3 - NEUTRAL
2 - SOMEWHAT DISAGREE
1 - TOTALLY DISAGREE
0 - NOT APPLICABLE