GG Student Program Fidelity 7th Grade Session 7

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

Atmt GG StudentProgram 7th Grade Session 7

Student Program Fidelity 7th Grade Sessions 1 - 7

OMB: 0920-0941

Document [docx]
Download: docx | pdf



Form Approved

OMB No. 0920-XXXX

Exp. Date:

Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).













Attachment GG:

Student Program Fidelity 7th Grade Session 7



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 – 7th Grade, Session 7 – Review


Attendance Log

Shape1


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














































SShape2 tudent Curriculum – 7th Grade, Session 7 – Review

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

  1. Briefly reviewed Session 6

  1. Explained that Session 7 will be the last session of the Dating Matters program

  1. Gave instructions for Activity 1

  1. Allowed students to create posters representing the R.E.S.P.E.C.T. M.E. Rights in small groups

  1. Allowed students to present their posters to the class

  1. Gave instructions for Activity 2

  1. Allowed students to complete the Student Handbook Scavenger Hunt for each session

  1. Instructed students to take their Student Handbooks home with them



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.

  1. Not enough time

  1. I did not have the needed materials

  1. I was uncomfortable discussing some of the topics

  1. Students were uncomfortable discussing some of the topics

  1. Some part of the session was difficult for students (e.g., role plays, reading aloud, worksheets)

  1. Classroom behavior management issues

  1. Other more pressing classroom demands






































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



















  1. 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



Please reflect on your overall implementation of the program.



What is a student's time spent on program training over the past 12 months?













How much time (excluding travel time) did you spend on curricula implementation over the past 12 months?














How much travel time and mileage did you spend on curricula implementation over the past 12 months?


















File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWendy LiKamWa
File Modified0000-00-00
File Created2021-01-27

© 2024 OMB.report | Privacy Policy