Over-All Rating: Encircle Number: Please

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Over-all Rating: Please encircle the number

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1,

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L L 3 4 5
Needs Average Good Very Good Excellent
lmprovement 17O%yes answer) (85% yes answer) (90% yes answer) (1OO% yes answer)
{<707o }es answer}

CoYfinlents:

Evaluaton

Signature over Printed Name Agency / Office

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