Form 3. LAC Session Report
Form 3. LAC Session Report
This form should be accomplished by the LAC Facilitator at the end of every LAC session.
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 indicate
MEMBER PARTICIPATION SD D N A SA why.)
FACILITATION
Part B
Please provide the information requested.
Submitted by:
_______________________________
(Position-Title/Designation)