Safety Patrol Feedback (Online Evaluation)
Please make sure to report any emergencies or serious situations which happen at the drop-off zone to the office ASAP, rather than just reporting them here.
This evaluation is referring to which day of the week? (Check as many as apply).
This evaluation is referring to what time of day? (Check as many as apply).
Who are you and what is your reason for filling this evaluation?
I am an ADULT who wants to report something at the drop off that CONCERNED me.
I am an ADULT who wants to report something at the drop off that I was PROUD to see.
I am a STUDENT who was asked to fill this out DURING A SAFETY PATROL MEETING.
I am a STUDENT who wants to report something at the drop off that concerned me (and I am not currently at a safety patrol meeting.)
I am a STUDENT who wants to report something at the drop off that I was proud to see (and I am not currently at a safety patrol meeting.)
What is going well out at the drop off zone?
What problems are you seeing out at the drop off zone?
Are there any specific student patrollers for this semester who stand out as EXCEPTIONALLY responsible, kind, organized, enthusiastic, or encouraging?
No one is particular stand out or I am not able to name someone by name who stands out.
If you chose one or more students, please name the student AND explain what you saw them doing which makes them stand out as an exceptional patroller (e.g. Mary shows up on time and is never late. She has a loud voice as caller and is very flexible when she is asked to switch jobs).
Thank you for filling out this evaluation! Is there anything else you want to tell the safety patrol coordinator Jennifer Jenkins? (Hint: Make sure that any info. that is an emergency be reported to the principal right away and not just listed in this evaluation. If you wrote this evaluation on paper, be sure to return the paper evaluation to Jennifer the SAME day to her classroom!)
Send me a copy of my responses.
Never submit passwords through Google Forms.
This form was created inside of Santa Clara Unified School District.
Terms of Service