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DTAC Equipment loans Feedback
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* Indicates required question
Name ( Borrower)
*
Your answer
Contact details ( email) of borrower
*
Your answer
Organisation or School
*
Your answer
Date Borrowed ( approx)
*
MM
/
DD
/
YYYY
Which equipment did you use
*
Google Expeditions
Spheros
Bloxels
Vex IQ
Telescopes
Required
Length of time it was borrowed:
*
1-5 days
1-2 weeks
3-4 weeks
other
Required
What audience was the kit used for
*
prep,1,2
3,4
5,6
7,8
9,10
11,12
Community/expo
Parents
demo/teacher PD
Other:
Required
What topics were covered while using it
*
Your answer
Approximately how many people used the kit at this time
*
Choose
1-9
10-19
20-29
30-39
40-49
more than 50
Any feedback by you or the audience in your use of the kit and the experiences you viewed.
*
Your answer
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