Educator Outcome Survey Follow-up
Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships
Atmt IIII - Educator_ Outcome_Survey_Follow-Up
Educator Outcome Evaluation Survey-Follow-up
OMB: 0920-0941
Attachment IIII:
Educator Outcome Survey Follow-Up
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
Form Approved
OMB No. 0920-0941
Exp. Date: 06-30-2015
Public reporting burden of this collection of information is estimated to average 30 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-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0941).
Site Number:
Program Year:
School Number:
Survey Iteration:
Evaluation of CDC’s Dating Matters™:
Strategies to Promote Healthy Teen Relationships Initiative
EDUCATOR SURVEY (BASELINE)
What is the name of the school where you work most of your hours? _________________________________
1a. Do you work at more than one school?
Yes
No
What is your primary role at this school?
Full-time teacher
Part-time teacher
Full-time guidance counselor
Part-time guidance counselor
Contractor employed to teach Dating Matters or Safe Dates curriculum
Other (specify:___________________)
This is my first year
This is my second year
This is my third year
I have been at this school four or more years
What is your gender?
Male
Female
Transgender
Are you Hispanic or Latino?
Yes
No
What is your race?
White
Black or African American
Native Hawaiian or other Pacific Islander
Asian
American Indian or Alaska Native
Other
Have you ever implemented a dating violence prevention curriculum?
Yes
No If No, skip to Question 8
7a.Mark
the groups to which you have provided a dating violence prevention
curriculum.
(Check all that apply.)
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6th, 7th or 8th grade students
High school students
Parents, to help them support their children
During this school year, are you scheduled to teach a teen dating violence prevention curriculum (either ‘comprehensive/ Dating Matters’ or ‘standard/Safe Dates’)?
Yes
No If No, skip to Question 9
8a.Mark the groups to which you will teach a teen dating violence prevention curriculum
(either ‘comprehensive/ Dating Matters’ or ‘standard/Safe Dates’).
(Check all that apply.)
-
a. Comprehensive Dating Matters for 6th grade students
b. Comprehensive Dating Matters for 7th grade students
c. Comprehensive Dating Matters for 8th grade students
d. Standard/Safe Dates for 8th grade students
e. Parents Matter! for students’ parents
Have you ever delivered any educational activities that addressed youth sexual harassment?
Yes
No If No, skip to Question 10
9a.Mark the groups to which you have provided educational activities that addressed
youth sexual harassment. (Check all that apply.)
-
6th, 7th or 8th grade students
High school students
Parents
Teachers
Other school staff
Are you aware of any educational activities in your school that have addressed youth sexual harassment, currently or in the past year?
Yes
No If No, skip to Question 11
10a. Mark the groups in your school who have received educational activities addressing youth sexual harassment. (Check all that apply.)
-
6th, 7th or 8th grade students
High school students
Parents
Teachers
Other school staff
11 Please read each statement carefully, then indicate how strongly you agree or disagree with the statement. Answer each question based on the current school year.
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Strongly Agree |
Agree |
Neutral |
Disagree |
Strongly Disagree |
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a. Teachers respect students in this school. |
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b. I feel safe before and after school while on school grounds. |
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c. Parents are involved in activities at school. |
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d. Students use drugs or alcohol outside of school. |
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e. Teachers work hard to make every student successful. |
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f. Students enjoy learning here. |
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g. I feel that I belong at this school. |
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h. Groups of students cause problems or conflicts at school. |
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i. Students feel comfortable telling a teacher or an administrator about potential violence. |
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j. I have seen a gun at school this year. |
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k. I feel safe in the school hallways. |
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l. Most students are proud of this school. |
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m. Teachers have input in decision-making at this school. |
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n. Some students are regularly hassled by other students. |
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o. Teachers care about student learning at this school. |
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p. Teachers and administrators supervise the halls during passing time. |
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q. I have seen students smoking at school or on school grounds. |
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r. Teachers praise students when they have done well. |
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Strongly Agree |
Agree |
Neutral |
Disagree |
Strongly Disagree |
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s. Arguments among students are common at school. |
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t. Teachers enjoy teaching here. |
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u. I have seen a knife at school (not including a cafeteria knife). |
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v. Teachers listen carefully to what students have to say. |
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w. Name-calling, insults, or teasing happen regularly at school. |
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x. Students respect teachers in this school. |
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y. Parents are made to feel welcome at this school. |
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z. Students use alcohol or drugs at school. |
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aa. I am proud of this school. |
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ab. Students regularly cheat on tests or assignments. |
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ac. Students cut classes or are absent regularly. |
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ad. Overall, I feel that this school is a safe school. |
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ae. I have seen students with drugs or alcohol at school. |
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af. Administrators listen to what teachers have to say. |
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ag. I feel safe in my classroom(s). |
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ah. Robbery or theft of school property over $10 in value is common. |
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ai. Students are generally treated fairly at this school. |
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aj. Sale of drugs occurs on school grounds. |
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ak. Students cooperate with teacher requests. |
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al. Physical fighting or conflicts happen regularly at school. |
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am. Most students are getting a good education at this school. |
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an. Threats by one student against another are common at school. |
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12. In this school, students generally think that… |
Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
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a. It is ok for a boy to hit his girlfriend if she did something to make him mad. |
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b. It is ok for a boy to hit his girlfriend if she insulted him in front of friends. |
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c. Girls sometimes deserve to be hit by the boys they date. |
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d. A girl who makes her boyfriend jealous on purpose deserves to be hit. |
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e. Boys sometimes deserve to be hit by the girls they date. |
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f. Sometimes boys have to hit their girlfriends to get them back under control. |
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g. It is ok for a boy to hit a girl if she hit him first. |
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h. It is ok for a girl to hit a boy if he hit her first. |
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13. In your school, how often do you see students:
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Never |
Seldom |
Sometimes |
Often |
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a. |
Make unwelcome sexual comments, jokes or gestures? |
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b. |
Call another student gay or lesbian in a negative way? |
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Touch another student in an unwelcome sexual way? |
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Show other students sexy or sexual pictures that they? don’t want to see |
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Physically intimidate another student in a sexual way? |
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Force another student to do something sexual? |
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14. In your school, how often do you see students who you think might be dating or somehow “involved”:
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Never |
Seldom |
Sometimes |
Often |
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a. |
Slap, push, pinch, pull hair or shove each other? |
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b. |
Hit with a fist, kick, or beat each other up? |
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c. |
Name call, humiliate, or belittle each other? |
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Verbally threaten each other? |
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e. |
Verbally harass their partner in a sexual way? |
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f. |
Touch their partner sexually in a way that seemed unwanted? |
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g. |
Send and/or receive text messages with sexual content? |
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15. Have you been trained about school protocols for action(s) to take if you witness sexual harassment between students?
Yes
No
16. Have you been trained about school protocols for action(s) to take if you witness teen dating violence between students?
Yes
No
17. Are you knowledgeable about laws and your responsibilities if you witness sexual harassment or teen dating violence between students?
Yes
No
18. Below is a list of problems that confront some youth today. Please tell us whether you think each
is a big problem, a small problem, or no problem at all for the students in your school community.
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Big Problem |
Small Problem |
No Problem At All |
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a. |
Smoking or tobacco use |
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b. |
Drug use |
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c. |
Alcohol use |
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d. |
Gang violence |
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e. |
Sexual harassment |
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f. |
Teen pregnancy |
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g. |
Vandalism/thieving |
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h. |
Eating disorders |
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i. |
Racial conflict |
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j. |
Dating violence |
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k. |
Stress or pressure |
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l. |
Bullying |
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19. In the last 12 months, have you taken the Dating Matters online training for educators (at www.vetoviolence.org)?
Yes
No
20. Please indicate how strongly you agree or disagree with the following statements:
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Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
a. I believe teen dating violence could be prevented. |
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b. I see teen dating violence prevention programs and policies fitting within my school. |
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c. I plan to talk with my school administrator and/or other educators about how we can incorporate teen dating violence prevention into the curriculum and school policies. |
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d. I believe educators played an important role in teen dating violence prevention. |
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e. I see the importance of adults modeling respectful relationships for youth. |
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f. I plan to incorporate teen dating violence prevention into my classroom lessons. |
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g. I feel comfortable discussing teen dating violence with my students. |
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h. I feel confident in my ability to discuss teen dating violence with my students. |
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If Question 8= Yes (have implemented or will implement DM or Safe Dates), then proceed to Question 21.
If Question 8= No (have not or will not implement DM or SD), end of survey.
21. Please rate your level of agreement with the following statements regarding the sustainability of the Dating Matters initiative (this includes programs called “Dating Matters” or “Safe Dates”).
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Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
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long-term goals of Dating Matters or Safe Dates. |
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implementation of Dating Matters or Safe Dates.
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If Question 10 = e only (only administered Parent curriculum), end of survey; Else proceed to Question 22.
22. Across all of the classroom sessions, rate your level of agreement with the following statements regarding engagement in the lessons.
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In this school, the students receiving the interventions… |
Strongly Agree |
Somewhat Agree |
Somewhat Disagree |
Strongly Disagree |
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a. mostly asked relevant questions during the session |
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b. rarely paid attention during the sessions |
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c. mostly responded correctly to questions during the sessions |
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d. rarely suggested solutions during case examples during the sessions |
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e. regularly were disruptive during the sessions |
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f. regularly participated in the sessions |
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g. were regularly supportive of each other during the sessions |
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h. mostly did not take the sessions seriously |
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i. mostly understood the key concepts from the sessions |
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j. regularly expressed discomfort with the topics covered |
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If Question 8a. not = e and only one response selected, then skip to Question 25.
28. In general, which activities/lessons worked the best and in what ways? Why do you think?
29. Which activities/lessons were harder to get students involved in and why?
30. Do you think the CDC should revise the activities/lessons for the students? If yes, in what ways?
31. How do you think the lessons/interventions might be replicated for future and more widespread
implementation?
32. Is there anything in general that you would like to add about the whole experience of being part of a
research project? Feel free to comment either about the students, or your
experiences/perceptions/observations.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Wendy LiKamWa |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |
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