On The Road For Safety
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First Name, Last Initial *
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County of Residence *
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Adult Coordinator Name *
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Date of Presentation *
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Location of Today's Presentation? *
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Number of Student's Taught? *
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Did you present alone or team-teach? *
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If Team-Taught: Partner's Name
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How comfortable are you presenting the material? *
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Are students responding positively to the material? *
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Were you able to ask the students the pre/post test questions? *
Did you do any additional activities with the students? *
In answered yes to above question, please provide a brief description of the activity.
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Do you have suggestions for improving the program/lesson? *
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