Team Nutrition Cooks - State, Local, and Tribal Government

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Attachment E - USDA Team Nutrition Cooks_Lesson Feedback Worksheet for Program Operators Final

Team Nutrition Cooks - State, Local, and Tribal Government

OMB: 0584-0524

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Attachment E – Lesson Feedback Worksheet for Program Operators

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Prep Time hours: ______ minutes:______

Lesson Time hours: ______ minutes:______

What did you do to prepare for this lesson?


Video observation notes (please note any reactions from students during video)












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What went well in this activity?










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What did not go well in this activity?











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What part(s) of this activity did you find unclear or confusing, if any?











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How would you make this activity better?











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Did you adapt or customize this activity in any way?

(MARK ONLY ONE)


  • Yes

  • No




Did you have all the food and supplies you needed to make the recipe? (MARK ONLY ONE)

  • Yes

  • No




What did the children find challenging about the activity?




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How many adults participated in this activity? ______ (Record number of adults teaching or assisting)

How many children participated in this activity? ______ (Record number of children)

Was this the ideal number of students? _________ (Yes or No)

Did the participating students take home family handouts?________ (Yes or No)





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How useful do you think this activity is in changing children’s attitudes toward food?

(CIRCLE ONLY ONE NUMBER BELOW)


NOT AT ALL USEFUL EXTREMELY USEFUL

Did you find this activity appropriate for children 8–12 years old?

(MARK ONLY ONE)


  • Yes

  • No




Why or why not?






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