|
 |
Name_________________________
School__________________________ |
|
|
|
|
1.
|
What
grade level are your students? (circle) |
4 |
5 |
6 |
|
|
|
|
|
|
|
|
|
2. |
How
many students do you teach?
________ |
|
|
|
|
3. |
Listed
below are statements about the Supplemental Lesson. Indicate to
what extent you agree/disagree with each statement by circling
the number below. |
|
|
|
|
|
|
|
|
|
|
Strongly
Agree |
Agree |
Disagree |
Strongly
Disagree |
|
|
|
| a.
|
The lesson presented new
information to students. |
1 |
2 |
3 |
4 |
|
If no, did it reinforce
their knowledge? |
__
Yes |
__
No |
|
Comments
______________________________________________ |
|
_______________________________________________________ |
|
|
| b.
|
Student activities were
pertinent, interesting. |
1 |
2 |
3 |
4 |
|
Comments
______________________________________________ |
|
_______________________________________________________ |
|
|
| c.
|
Information was easy for
students to understand. |
1 |
2 |
3 |
4 |
|
Comments
______________________________________________ |
|
_______________________________________________________ |
|
|
|
|
|
4. |
Suggestions
to improve the Lesson: |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |
|
|
|
|
5. |
|
|
|
If
no, why? |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |
|
|
|
|
6. |
| Are there other nutrition-based
lessons you would like to see us develop for the Internet? |
|
__ Yes |
|
__ No |
|
|
|
If
so, what are your ideas? |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |
|
|
___________________________________________________________ |