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pdfNASA Challenge Workshop/Educator Feedback Survey
Thank you for participating in (auto-populate with name of specific challenge activity.) We ask that you please
take a moment to provide your feedback that will be used to improve the development and delivery of
educator training, resources, and support.
The following questions will help us develop the best program to fit the needs of teachers today. We estimate
that it will take about 10 minutes to complete this survey. Your participation is voluntary and anonymous,
meaning your responses will not be associated with you, whether submitted as a hard copy or with your email
address or your computer's IP address if submitted electronically. Your feedback is important to us. Thank you
for your assistance.
Date of Attendance: [Auto-populated at administration]
NASA Center for this activity? [Auto-populated at administration]
Participant Profile Information
1. When did you attend the event and what type of event was it?
Date of Attendance: [auto populated at administration]
Check One.
In Person Content Workshop/Seminar Training
Web-based Content Workshop/Seminar Training
Other___________________________________
2. How did you learn about this workshop? Check One.
E-mail
Direct Mail
Social Media Post
Colleague/Supervisor
Web Search
Other_________________
3. What are the current institution type, program type, and setting where you will use the content of this activity?
Check one of each to best describe where the content of this activity will be applied.
Institution Type:
Public School
Private School
Science
Center/Museum or
Planetarium
Youth Serving
Organization
Other_____________
Program Type:
In-School Program
Afterschool Program
Weekend Program
Summer Program
Other______________________
Setting:
Urban
Suburban
Rural
Other_______________________
4. What subject do you primarily teach in which you will use the content of this activity? Check One.
General Science
Technology
Physical Science
Special Education/Inclusion
General Math
Other___________________________
Specialized Math (i.e. Geometry)
5. Please select the one option that best describes your current work as an educator:
Educator – Elementary School
Educator – Middle School/Junior High
Educator – High School
Educator – Homeschool
Educator – College/University
Educator – Informal (museum, park interpreter, etc.)
Pre-Service Teacher
I work in education but I am not a classroom teacher
I am a retired educator or have left the field of education
Other (Please explain. 100 characters and spaces): ____________________________________
______________________________________________________________________________
Workshop Content Feedback
6. Is the NASA content presented to you during this experience applicable to your classroom?
No
Yes
Yes, but with some changes (Please explain. 500 characters and spaces)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
7. Has this NASA experience inspired you to bring NASA content into your classroom?
Yes
Yes, and I plan on sharing these materials with other educators
No, I already utilize NASA content in my classroom
No, these materials do not fit with my curriculum
No, but I plan on sharing these materials with other educators
Other (Please explain. 200 characters and spaces): ___________________________________________
_____________________________________________________________________________________
8. Would you want to attend another NASA experience? Yes No
Why or why not? (Please explain. 500 characters and spaces):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
9. Would you recommend this experience to other educators? Yes No
Why or why not? (Please explain. 500 characters and spaces):
___________________________________________________________________________________________
___________________________________________________________________________________________
_____________________________________________________________________________
10. What aspect of this experience did you like best? (Please explain. 500 characters and spaces):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
11. I how would you change this NASA experience or content, if you were in charge? (Please explain. 500
characters and spaces):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
12. Do you have any other feedback to offer regarding the workshop you attended? (Please explain. 500
characters and spaces):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
As Educators, we know that your time is most valuable. Your assistance is deeply appreciated!
Paperwork Reduction Act Statement: This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section
2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of
Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0153 and expires on
07/31/2017. We estimate that it will take 10 minutes to read the instructions, gather the facts and answer the questions. Send only
comments relating to our time estimate to: [email protected].
File Type | application/pdf |
Author | McDowell, Amy Holmes (MSFC-HS30)[Aetos Systems Inc] |
File Modified | 2016-02-26 |
File Created | 2016-02-26 |