Form III Student Program Fidelity 8th Grade Session 7

Form Approved

OMB No. 0920-XXXX

Exp. Date:

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Attachment III:

Student Program Fidelity 8th Grade Session 7 (Standard)

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

Student Curriculum – 8th Grade, Session 7 – How We Feel, How We Deal

Attendance Log

Implementer Name: _________________________ Implementer ID: ___________________

School ID: ____________________________ Session ID: _________________

Classroom ID:______________________________ Program Year: ____________________

Please have each student sign initials next to their name to indicate attendance to the session

Student Names (Pre-Typed)	Student ID (pre-typed)	Student Initials for Present

Student Curriculum – 8th Grade, Session 7 – How We feel, How We Deal

Implementer Name: _____________________ Implementer ID: ___________________

School ID: ____________________________ Session ID: _________________

Classroom ID:__________________________

Program Year: ____________________ Time lesson began: ___________

Date: __________________________ Time lesson ended: ___________

Please indicate if you completed the following activities:

Activity	Yes	Yes w/ changes	No
Asked students for examples of feelings (beyond mad, sad, or happy)			
Pointed out to students why knowing your feelings is important and helpful			
Pointed out that students that feeling angry is OK, but how you deal with anger that is important			
Discussed ‘hot buttons’			
Explained to students that knowing what their hot buttons are can help them control their anger			
Described ‘intermediate’ anger and ‘pent-up’ anger			
Facilitated exercise - students wrote or said what their cues and responses to both immediate and pent-up anger are			
Pointed out that responses to anger are never uncontrollable			
Discussed ways to diffuse anger in the first few seconds after getting angry			
Pointed out to students that once they have calmed down, they can use the Safe Dates communication skills			
Pointed out that feeling anger can be good because it tells us about a situation we may need to change			
Facilitated students talking about a time that they were angry and brainstorm good ways they could have responded			
Gave the students the Feelings handout and Feelings diary			
Concluded session			

Describe any changes you made to the session activities (please identify which activity you are describing by number).

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

Not enough time	
I did not have the needed materials	
I was uncomfortable discussing some of the topics	
Students were uncomfortable discussing some of the topics	
Some part of the session was difficult for students (e.g., role plays, reading aloud, worksheets)	
Classroom behavior management issues	
Other more pressing classroom demands	
Other – please specify____________________________________	

Please check the extent to which the students were engaged in today’s lesson on the following measures:

Most students…	Strongly Agree	Agree	Don’t Know	Disagree	Strongly Disagree
Asked relevant questions.					
Suggested solutions to scenario problems.					
Responded correctly to questions.					
Distracted other students.					
Participated extensively in discussions.					
Discouraged other students from participating.					

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 well do you think the students understood the session material?

1  Not at all

2  A little

3  A lot

4  Completely

2. 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 complete