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Safety Patrol Feedback (Online Evaluation)
How are things going out at patrol?
Email address
This evaluation is for which day of the week?
MM
/
DD
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YYYY
This evaluation is for what time of day?
Time
:
Who is the person filling this survey out?
Evaluators only: which students were on time for this shift?
Evaluators only: Which students were on LATE for this shift? Check any that apply. ("Late" is different from "no-show" or "absent". Mark that info. about late/ no-show for next question.)
Evaluators only: Which students were a "no-show" or absent from their shift and did not find a sub? Check any below who did not have a sub.
Evaluators only: Which students were a "no-show" or absent from their shift and did not find a sub? Check any below who did not have a sub.
Evaluators only: Who were the subs or volunteers who helped on this shift? (Check any volunteers not trained as patrollers under "other" answer below.)
Choose which POSITIVE student patroller behaviors you saw in the shed BEFORE the shift started. (Check all that apply below; List specific names of patrollers that did something positive under "other" and then explain what they did). Save comments about drivers or pedestrians for a later question. Save comments about drivers or pedestrians for a later question.
Did anything happen at the beginning of the shift that CONCERNED you? (Please avoid using specific names of safety patrollers. Tell the teacher the names of students privately). Save comments about drivers or pedestrians for a later question.
Your answer
Choose which POSITIVE student patroller behaviors you saw DURING the shift. (Check all that apply below; List specific names of patrollers that did something positive under "other" and then explain what they did). Save comments about drivers or pedestrians for a later question.
Did anything happen DURING the shift that CONCERNED you? (Please avoid using specific names of safety patrollers. Tell the teacher the names of students privately).
Your answer
What CONCERNS did you have about either pedestrians or drivers today? Choose as many as apply. If you would like, also add specific details about what happened under "other" at the bottom of the list.
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.)
Your answer
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