2001 Back to School Evaluation Form: Teachers

America's Legislators Back to School Week
September 15-19, 2003
A program of the Trust for Representative Democracy

Evaluation -- Teacher/Principal

Your responses will be used to evaluate the America’s Legislators Back to School Week event and the materials provided by NCSL. Selected quotes may be used in future promotional pieces.

Your Name: School:
Grade Level: Subject: State:
Name of legislator visiting your classroom:

1) Did your class watch the “Your Ideas Count” video? Yes No

1a) If yes, how would you rate the video overall?
Excellent Good Fair Poor
1b) Was the video appropriate for this grade level? Yes No
1c) Did it help students understand concepts of representative democracy?
Strongly Agree Agree No Opinion Disagree Strongly Disagree

2) Please evaluate the following publications provides by NCSL:

Excellent

Fair

Poor

Did not use

a) "Your Ideas Count!" Representative Democracy and You (Adult Booklet)

5

4

3

2

1

0

b) "Your Ideas Count!" Questions & Answers About Representative Democracy (Student Booklet)

5

4

3

2

1

0

c) "TIME for Kids" Magazine (Grades 4-6)

5

4

3

2

1

0

d) "TIME for Kids" Magazine (Grades 2-3)

5

4

3

2

1

0

3) Did you use the online lesson plans provided by NCSL?(link to plans) Yes No

3a) If yes, how would you rate the lesson plans overall?
Excellent Good Fair Poor
3b) Were the plans appropriate for this grade level? Yes No
3c) Did the plans complement the legislators visit? Yes No
3d) Did the plans help you prepare for or follow up on the visit? Yes No

4) Did you consult with the legislator prior to his or her visit to the classroom? Yes No

5) How did you learn about Back to School Week?

6) Did this program meet your expectations? Yes No

7) Comments and Suggestions:

Questions? Contact Jan Goehring, Project Coordinator, jan.goehring@ncsl.org