Exit Survey
Considering your context and needs, provided below is a selection of survey questions from which you can build a version that works best for your setting. You are free to modify these questions to meet your specific needs.
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In collaboration with your coach, how valuable have each of the following been in helping you address your classroom challenges?
Not valuable
Slightly valuable
Moderately valuable
Very valuable
Extremely valuable
I have not participated in this type of support
1:1 formal meetings with your coach
Coach-facilitated departmental/grade-level meetings
Coach-facilitated school-wide PD
Coach classroom visits for observation
Coach co-teaching and/or modeling
Conversations with the coach outside of formal meetings (in the hallway, via text message, social media, email, etc.)
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In your collaboration with your coach, please indicate the extent to which you agree with the following statements:
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I can find time to work with my coach.
My coach can find time to work with me.
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To what extent do you agree with the following statements? "When I have used classroom technology with the support of my coach..."
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
My students seem more interested in school.
My students participate more in classroom activities.
My students demonstrate more appropriate effort when completing classroom tasks.
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How do you rate...
Very weak
Weak
Neither weak nor strong
Strong
Very strong
Your general technology skills?
Your ability to select and use technology to improve teaching approaches (pedagogy)?
Your ability to select and use technology to support your content area instruction?
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For each Impactful Technology Use (ITU) indicator, select the frequency and proficiency rating that best describes student technology use in your classes overall. The Rubric is available to provide you with more information about ITU, including examples showcasing how teachers might create opportunities for students to demonstrate ITU in their classrooms.
Impactful Technology Use Rubric: https://drive.google.com/file/d/1kVj8j2CX--A8s8bQ5krkfQ6k0Un3pCnJ/view
In your recent teaching, how OFTEN have you asked your students to select relevant technology tools or resources?
For example, to: Decide which technology tools to use (e.g., computer, cell phone, or notebook) or Decide which technology resources to use (e.g. app or website)
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How PROFICIENT are your students in selecting relevant technology tools or resources (as appropriate for their grade level)?
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In your recent teaching, how OFTEN have you asked your students to use technology to collaborate?
For example, to: Work in pairs or small groups, Work together on a project or to reach a shared goal, or Give feedback to their classmates about their work
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How PROFICIENT are your students using technology to collaborate (as appropriate for their grade level)?
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In your recent teaching, how OFTEN have you asked your students to use technology to communicate?
For example, to: Give a presentation to an audience, Share work or ideas online (e.g., with people outside of school), Express their ideas for a specific audience through writing, or Express their ideas in a different way than writing (i.e., drawings, music, video, etc.)
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How PROFICIENT are your students at using technology to communicate (as appropriate for their grade level)?
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In your recent teaching, how OFTEN have you asked your students to use technology to develop their creativity and innovation skills?
For example, to: Come up with different ideas to see how they work, and then improve them or Create something unique for the class (i.e., an online post, a video, a presentation, a song, etc.)
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How PROFICIENT are your students at using technology to create and innovate (as appropriate for their grade level)?
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In your recent teaching, how OFTEN have you asked your students to use technology to think critically about what they are learning?
For example, to: Solve a complex problem when there is no single right answer, Evaluate different sources of information or Use evidence to draw conclusions
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How PROFICIENT are your students at using technology to think critically about what they are learning (as appropriate for their grade level)?
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In your recent teaching, how OFTEN have you asked your students to use technology to develop their agency in taking on and completing tasks?
For example, to: Choose topics to study or goals that interest them, Decide what activities will help them learn, or Plan and follow steps to reach a goal
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How PROFICIENT are your students at using technology to develop their agency in taking on and completing tasks (as appropriate for their grade level)?
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