Quigley, Thank you for being my/our GMF instructor in Bristol, Vermont. It is standard practice to rate pain on a scale of 1-10. I have chosen to evaluate teaching effectiveness on a 10 point scale also. In my opinion you have earned the highest score, a 10, demonstrating competency that exceeds expectations. What a great job you did, with empathy for the uniqueness of each individual and the knowledge and ability to provide accommodations suited to an individual’s specific need.