The REACT Program

University of Illinois

Teacher Survey

Please take a few minutes to give us some feedback on the program we have run at your school. We value your opinion and would sincerely like to know what improvements we can make to better serve your students. Thank you for your time!

Name:
School:
Grade level:
Number of classrooms of this grade:
Number of students per classroom:
School day begins:
Third grade lunch and recess hour:
Classes dismiss:
Scheduled in-service days or breaks in Fall 2007:
Standardized Testing Dates for Fall 2007:
What method would be best for us to contact you for scheduling purposes? (Please choose one.)
	Email Phone Other
(Optional) Email Address:
Number and preferred time of call:
If other, please list:
1.) Is there a particular day of the week or time of day (or both) that would work best for our visits with you?

2.) Did you feel that the lesson presented in Fall 2007 was appropriate for your students in both content and presentation?

3.) Which presentation(s) do you feel should be kept in our nutrition chemistry lesson?
	Starch Testing Iodine Tatoos Orange Juice Clock Diet/Regular Coke floatation
4.) How many times has REACT Program visited your school?

If they have visited before, how do you rate this semester's presentation compared to the previous semester's in regards to the content taught? (1 = much worse, 3 = same quality, 5 = much better)
	1 2 3 4 5
Comments?

5.) Would materials for your use before and/or after our visit about the lesson plans be useful for you?

6.) Do you have any suggestions of future topics for us to address in our lesson plans?

7.) Please rate our U of I students on their professionalism, efficiency, and delivery, with 1 equal to needing improvement, and 5 equal to exceptional.
1 2 3 4 5
Additional comments or concerns?

8.) Are you interested in hosting "Family Nights" at your school, or attending "Family Nights" on the UIUC campus?
Yes No
If yes, who do we contact in order to set up a "Family Nights" event?