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Your Name
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First and Last Please
Your answer
As a parent of a student in my class, how relevant is the information provided?
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Not relevant would be 1 Very relevant 5
Nope
1
2
3
4
5
Absolutely
Questions about my presentation.
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As a parent of a student, was the information presented profesionally, easy to read and understand?
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1 Very hard to read 5 Easily read
Hard to read
1
2
3
4
5
Easily read
As a parent of a student, did I clearly explain how I would use technology inside and outside my classroom?
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1 Not at all 5 Very Well
Not explained
1
2
3
4
5
Explained well
As a fellow connected educator, how would you rate my technology skills?
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1 Old school 5 Technology skills have been met
No technology
1
2
3
4
5
Advanced in technology
As a fellow connected educator, does my presentation and form meet all the requirements?
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1 being none 10 being all
None
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All
Feedback
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What technology device do you have at home?
Check all that apply
Computer/laptop
Music Player (mp3, ipod, radio, cd player)
Tablet (Ipad, Kindle, Windows, and Ereader)
Tv
Other
Did you like my presentation?
yes or no
yes
no
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Comments or concerns
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Student has allergies
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Volunteering
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