Program Title:   

School District: 

Contact Person:  First Name      Last Name   
Email address: 
Number of students who participated: 
 
Please rate each program performance category on a scale of 1 to 5. A rating of 1 indicates poor performance whereas a rating of 5 would be excellent performance.
 
Quality of Materials sent Prior

1

2 3 4 5 N/A
Coordination of event 1 2 3 4 5 N/A
Relevant to SD Content Standards 1 2 3 4 5 N/A
Instructional concepts 1 2 3 4 5 N/A
Vocabulary level 1 2 3 4 5 N/A
Instructional aids 1 2 3 4 5 N/A
Curriculum compatibility 1 2 3 4 5 N/A
Instructor’s knowledge 1 2 3 4 5 N/A
Instructor’s enthusiasm 1 2 3 4 5 N/A
Instructor’s rapport with students 1 2 3 4 5 N/A
Instructor’s mannerisms 1 2 3 4 5 N/A
Recommend to other teachers 1 2 3 4 5 N/A
 
Were there technical difficulties?   Yes  No
If Yes, Please Explain:
 
Please provide comments on ratings less than 3:
 
Other comments:
 
Student comments regarding program: