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BrainReach North Feedback Form
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Email
*
Your email
Where are you located (territory, province/state, country)?
*
Your answer
Do you identify as First Nation, Métis, Inuit or member of another Indigenous community?
*
Yes
No
Prefer not to answer
Do you work in a First Nation, Métis, Inuit or another Indigenous community?
*
Yes
No
Prefer not to answer
If you answered yes to the above question(s), please let us know which community you identify with/work in.
Your answer
How did you first hear about BrainReach North?
*
Email
Social media (Facebook, Twitter, YouTube, etc.)
BrainReach North website
Word of mouth
In-person events (booth, conference, etc.)
Teaching visit to your school
Other:
Which best describes your current position?
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Elementary school teacher
High school teacher
Student
Other:
Have you ever used or accessed BrainReach North material?
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Yes
No
How have you used BrainReach North materials?
*
Classroom
Homeschooling
Public outreach (e.g. Science fair)
Personal use
Not applicable
Other:
Required
Which type of BrainReach North materials have you used? Please check all that applies.
*
Lessons
Videos
Postcards or posters
Not applicable
Other:
Required
How often do you use or access BrainReach North materials?
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Every week
Every month
Once or twice per semester
Once or twice ever
Not applicable
How useful did you find BrainReach North materials overall?
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Not at all useful
1
2
3
4
5
Very useful
What would you like to see in the future from BrainReach North? (Select all that apply)
*
Lessons
Videos
Posters and Postcards
Blog posts
Other:
Required
Please provide any additional feedback you may have below. We would love to hear from you!
*
Your answer
Thank you for participating! If you have any questions or comments, please feel free to reach out to us at
brainreachnorth@gmail.com
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