New Hampshire Science Safety Pre-Training Survey

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1. School Name

School Name

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2. Grade Level(s)

Grade Level(s)

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3. Subjects Taught

Subjects Taught

4. District Enrollment

District Enrollment   350-500

501-1000

101-2000

2001-3000

3000+

5. Gender

Gender   Male

Female

6. Level of Education

Level of Education   Bachelors

Bachelors + 15

Masters

Specialist

Doctorate

7. Total years of science teaching

Total years of science teaching   0-3

4-10

10-20

20+

8. Total years of teaching

Total years of teaching   0-3

4-10

10-20

20+

9. Number of different subjects taught

Number of different subjects taught   1

2

3

4

5 or more