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Feedback Form: Curriculum in a Box

Feedback Form: Curriculum in a Box

The Organization for Autism Research (OAR) designed the Curriculum in a Box to support teacher training and preparation for students on the autism spectrum in the mainstreamed classroom. Please share your feedback if you have used the Understanding Autism: Professional Development videos. This survey should take 5 minutes to complete. We thank you for your support and helpful feedback.

Step 1 of 5

20%

Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
School/School District Name
Position:
Include title and grade levels if applicable
How did / will you use Understanding Autism?*
Please select the option that best describes you.
- Presentation facilitator
- Presentation participant
- Reviewed materials independently

Presentation Facilitator Feedback
Number of participants
Admin, teachers, support staff, etc.
Number of schools impacted
Which personnel (use titles, please) were involved with implementing the training?
How were staff members encouraged to participate?
Please answer the following questions only if the training has already been provided.
In your opinion, did the participants find the training helpful for their immediate needs?
- Very helpful
- Somewhat helpful
- Not helpful
- Not helpful at all
- Not sure
Overall, the presentation materials were ___ to use.
- Very easy
- Somewhat easy
- Somewhat challenging
- Very challenging
Please explain
How effective were these resources in educating your staff?
- Very effective
- Somewhat effective
- Somewhat ineffective
- Very ineffective
Do you have any suggestions for how we can improve the materials?
(scripts, handouts, organization, etc.)

How many people participated in the session?
Please include admin, teachers, support staff, etc.
Which personnel (use titles, please) were involved with implementing the training?
How were participants encouraged to participate?

In your opinion...

	Strongly agree	Somewhat Agree	Somewhat Disagree	Strongly disagree
The facilitator appeared knowledgeable of the topic
The presentation was organized
The information was helpful
The information was relevant to my immediate needs

Additional comments for any of the above?
Do you have any suggestions on how we can improve the presentation?

In your opinion...
Strongly disagree Somewhat disagree Somewhat agree Strongly agree
The presentation was well-organized
The information was helpful
The information was relevant to my immediate needs
Additional Comments
Do you have any suggestions on how we can improve the presentation?

Do you work directly with students on the spectrum?
- Yes
- No
Would you use these resources again or recommend them to a colleague?
Why or why not?
Did you have questions that were not covered by the presentation? If so, what were they?
What additional autism related support (if any) do you/does your school need?
Anything else you'd like to share?
Please share any ideas for additional resources that could help with continuing autism education.

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