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Self-Assessment Guide

Module Title:____________________________________
Name:___________________________________________________
Institution:_________________________________________________
Direction: Using the rating scale shown below, please rate your present level of
performance or competencies by checking the appropriate column.
1- Not competent, 2-Somewhat competent, 3-Competent,
Competency Area
Performance Level
1

What other competencies/areas do you want to learn?

___________________________________
___________________________________
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