Retro-pre questionnaire and scores

Student self-evaluation of confidence in key skills using a retro-pre questionnaire before and after the introduction of the structures physical examination skills module at KIST Medical College, Nepal.
The before scores are between 1-5: 1-being not aware, 2-not confident, 3-Somewhat confident, 4-very confident, 5-can do independently
The after scores are between 1-4: 1-not confident, 2-somewhat confident, 3-very confident, and 4-can do independently