Course Evaluation

Thank you for taking the curriculum!

Please help us improve the curriculum by evaluating School-Based Dental Sealant Programs. Your feedback is important to us.

Please fill in the form and click the "submit" button at the bottom of the page.

If you prefer, print and return the completed form to the National Maternal and Child Oral Health Resource Center by fax at (202) 784-9777 or by mail to OHRC, Georgetown University, Box 571272, Washington, DC 20057-1272.

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Name:
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The curriculum met my expectations.
	Strongly Disagree Disagree Neutral Agree Strongly Agree
What aspects of the curriculum were most valuable?
What aspects of the curriculum were least valuable?
The curriculum was
	Too easy Easy Just right Hard Too hard
I can apply the information I learned.
	Strongly Disagree Disagree Neutral Agree Strongly Agree
How can we improve this curriculum?