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HOT PLANET COOL ATHLETES FEEDBACK FORM
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* Indicates required question
How many people were in the audience that just watched the video? (If you watched individually- just put 1, if you watched as a class input the number of students in the class)
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Your answer
What grades were in the audience?
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6
7
8
9
10
11
12
Required
How satisfied were you with the video content?
*
Poor
1
2
3
4
5
Excellent
What were the highlights of the video?
Your answer
What parts of the presentation do you think can be improved?
Your answer
Will you or your students engage any other parts of of the Hot Planet Cool Athletes Program?
Student Challenges
Teacher Resources
Illuminate Simulation Game
Can you provide a testimonial that can be published on the Hot Planet Cool Athletes website or used for future grant applications?
Your answer
Can we publish your feedback and name in reporting, website testimonials and/or grant applications that pertain to the Hot Planet, Cool Athletes program?
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Yes
No
You can publish my comments but please keep them anonymous
Name
*
Your answer
Job Title
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Your answer
School
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Your answer
City
*
Your answer
E-mail
*
Your answer
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