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JA of Eastern Iowa
Teacher Survey
* Your Name:
* Your E-mail:
* School:
* JAEI Program:
* Volunteer:
* Company:
* Grade:
How Many semeseters have you participated with JAEI:
Total Years
Please rate your JAEI experience regarding the following topics
(1=low; 5=high)
*
Volunteer Participation
Program coordination and follow through
--Please Select--
1
2
3
4
5
Demonstrates active involvement and leadership
--Please Select--
1
2
3
4
5
Equipped with materials, knowledge, and training to be effective
--Please Select--
1
2
3
4
5
Supports lessons with follow up activities and review
--Please Select--
1
2
3
4
5
Comments
*
Classroom Climate
Students participate in class activities
--Please Select--
1
2
3
4
5
Students are courteous and cooperative
--Please Select--
1
2
3
4
5
comments
*
Kit/Materials
Appropriate for grade level
--Please Select--
1
2
3
4
5
Adequate quantity of materials
--Please Select--
1
2
3
4
5
Holds attention of students
--Please Select--
1
2
3
4
5
Activities allow for creativity and imagination
--Please Select--
1
2
3
4
5
Materials are sensitive to special needs, minorities, ethnic groups, etc.
--Please Select--
1
2
3
4
5
Comments:
JAEI Training
(if applicable)
Explanation of the role of volunteer
--Please Select--
1
2
3
4
5
Explaination of the role of teacher
--Please Select--
1
2
3
4
5
Explanation of student characteristics
--Please Select--
1
2
3
4
5
Familiarization with materials
--Please Select--
1
2
3
4
5
General level of preparation
--Please Select--
1
2
3
4
5
Comments:
Please select from the drop down which best describes how often each of the statements is true of our staffs' performance:
*
JAEI Staff
Keeps you informed
--Please Select--
Rarely
Sometimes
Frequently
Almost Always
Don't Know
Is a good listener
--Please Select--
Rarely
Sometimes
Frequently
Almost Always
Don't Know
Delivers top quality customer service in a timely, efficient manner
--Please Select--
Rarely
Sometimes
Frequently
Almost Always
Don't Know
keeps commitments & promises
--Please Select--
Rarely
Sometimes
Frequently
Almost Always
Don't Know
Comments:
* Would you like to use JAEI in your Classroom next year?
Yes
No
* Was this the best time of the year for JAEI in your classroom?
If not, when would be a better time of year?
Yes
No
* Would you like to be partnered with the same volunteer?
If not, when would be a better time of year?
Yes
No
Additonally, I recommend contacting the following person(s) about possible volunteering or using JAEI programs in the classroom:
Teacher
Name:
School:
Phone:
Address:
E-mail:
Program:
Grade:
Name:
School:
Phone:
Address:
E-mail:
Program:
Grade:
Volunteer
Name:
Company:
Phone:
Address:
E-mail:
Program:
Grade:
Name:
Company:
Phone:
Address:
E-mail:
Program:
Grade:
* May we release your comments as a testimonial?
Yes
No
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