Modeling Instruction in High School Chemistry
Survey of Participant Experiences

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* 1. Name:

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* 2. Date (month and year):

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* 3. School:

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* 4. Your principal’s name:

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* 5. # years you’ve taught high school:

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* 6. # years you’ve taught chemistry:

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* 7. Content area/specialization of your college degree: (please select one)

This survey is intended to assist the staff of the American Modeling Teachers Association in evaluating our teachers needs.
Please answer all questions based on your experience during the academic year 2011-2012.
Please select N/A next to any question that doesn’t apply to your situation.
Your cooperation is greatly appreciated.

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* 8. Have you participated in any Modeling Workshops prior to this Chemistry Modeling Workshop? If so please list workshop title, duration (approximate number of contact hours) and date of each of these workshops.

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* 9. How often do you ask students to work in groups in your chemistry class?

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* 10. How often do you ask groups to discuss or debate their ideas in class?

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* 11. How often do you use (student-size, hand-held) whiteboards?

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* 12. How often do you lecture for the majority of the class period?

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* 13. How often do you use a standard chemistry textbook?

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* 14. How often do you assign practicums or special long term projects?

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* 15. What type(s) of chemistry courses did you teach this year? (Select all that apply)

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* 16. Which of the following best describes your approach to grading students with respect to on-going assessment and feedback (homework grades, lab grades, etc.)? (please select one)

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* 17. Which of the following best describes your approach to grading students with respect to semester/ final grades and major examinations? (please select one)

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* 18. Have you had exposure/experience with the Modeling Method prior to this workshop?

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* 19. If yes to #17, what type of exposure have you had with the Modeling Method? (Select all that apply)

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* 20. Please name any colleagues who spent more than 10 hours teaching you modeling instruction.

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* 21. Comments:

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