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Parent Program Fidelity 6th Grade Session 2

ICR 201207-0920-010 · OMB 0920-0941 · Object 33856901.

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Parent Program Fidelity 6th Grade Session 2
Wendy LiKamWa
Writer
2011-12-05
2026-10-30
complete

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Form Approved
OMB No. 0920-XXXX
Exp. Date: 






Attachment M:
Parent Program Fidelity 6th Grade Session 2

Dating Matters: Strategies to Promote Healthy Teen Relationships™ Initiative

Division of Violence Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention



Parent Curriculum – 6th Grade, Session 2 – Parenting Positively

Attendance Log


Implementer Name: _____________________ Implementer ID: ___________________

School ID: _____________________________ Session ID: _______________________
	


Parent  / Guardian Names

Name of Child in Program

Name of Child in Program














































Parent Curriculum – 6th Grade, Session 2 – Parenting Positively

Session Log


Implementer Name: _____________________ Implementer ID: ___________________
School ID: _____________________________ Session ID: _______________________


Please indicate if you completed the following activities:























Please indicate if you experienced any of these challenges that interfered with implementing today’s session.  Check all that apply.





















Describe any changes you made to the session activities.


















Please think about today’s session and tell us your answers to the following questions. Circle the number that shows your opinion about each question. 


    1. How engaged were the parents in the session?

	1 	very bored
	2 	
	3  	average
	4 	
	5 	fully engaged



    2. Please think about how well you think the session went today. 

1 extremely poorly
2
3 average
4 
5 exceptional

    3. How well do you think the parents understood the session material?
1 	Not at all
2 	A little
3 	A lot
4 	Completely



    4. How well did the session material fit into the allotted time period?

1	Session was too packed/not enough time to complete all activities
2	Session was somewhat packed/able to complete most but not all
3	Session was just right
4	Not enough material/session ended before class period completed