Educator Feedback Form 
After piloting materials provided to you by the Pauli Murray Center around the history of Activism in Durham, please fill out this form regarding your experiences and feedback on classroom use. 
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Email *
Name *
School *
Grade Level(s) piloted with  *
Required
Current Content Area(s) taught *
Module(s) Piloted *
Materials Used in classroom (check all that apply) *
Required
Are you able to access all the links/information provided in the materials (including editing the interactive notebook)?  *
If no to the above question, what link/information were you unable to access?
Are the provided materials and resources useful?  *
How well do the instructional strategies and activities align with information presented in the Activism Map?  *
Not at all
Exceptionally well
How well do the strategic and activities address the learning needs of ALL students, including students with disabilities and dual language learners?  *
Not at all
Exceptionally Well
How well do the curriculum materials provide opportunities for students to adequately show higher order thinking?  *
Not at all
Exceptionally well
If you responded with a 3 or below on any of the above questions, please use this space to elaborate on what can be done to enhance the materials provided (for alignment with the activism map, use with English Language learners, to address diverse learning needs of students, and/or to foster higher order thinking)
Tell us about how you used this module in your classroom? (eg: did you use the entire module, starting with students looking at the Activism Map to having them fill out the notebook, or did you use it in a different order or select certain pieces of it to use?)
*
What other materials or resources, including primary sources, did you pair with this resource?
What other instructional strategies and/or activities would you recommend we include? 
How would you improve the module(s) that you reviewed?
Are there any mechanical (spelling, grammar) errors that need correction? If so, please cite them. 
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