Passport Suggestion Form

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Passport Suggestion Form

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Passport Suggestion Form

Passport Suggestion Form

Name:
Email:
School and Year:
How did you hear about the Peer Educators and/or the Passport?
Write your suggestions here:
Please rate this activity based on the rating system used in the Passport:

Activity	0	1	2	3	4
1. Wallet: (Activity cost index; 0 = free)
2. Romantic (Measures the opportunity to get closer with that special someone):
3. Friendship (Measures the level of bonding with friends):
4. Relaxation (Measures the restfulness of the activity):
5. Eclectic (Measures the uniqueness of the activity):

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