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LAC FACILITATOR: MARY ANN CURATO DATE OF LAC SESSION: March 5,2021
Part A
Please indicate the extent to which you agree with each of the following statements by
ticking
the appropriate box. (SD = Strongly Disagree; D = Disagree; N = Neutral; A = Agree; SA =
Strongly agree)
Comments / Remarks
(For example, if you disagree
or strongly disagree, please
SD D N A SA indicate why.)
ACTION PLAN
Part B:
The topics presented were discussed thoroughly thru the collaborative efforts of all persons
involved in the said LAC.
3. Other comments/suggestions: