SurveyMonkey Powered Online Survey

1. Feedback for Intel Teach Elements: Educational Leadership in the 21st Century Online Course

1. Date of Completion

	DD		MM		YYYY
Date:	Date of Completion Date: Day	/	Month	/	Year

2. Select the Modules you have completed

Select the Modules you have completed Module 1: Technology Leadership

Module 2: Collaboration with Technology

Module 3: Technology Trends

3. E-learning: Time spent on individual work learning concepts of educational leadership in the 21st century in interactive tutorials and exercises

E-learning: Time spent on individual work learning concepts of educational leadership in the 21st century in interactive tutorials and exercises Number of Hours:

4. Action Planning: Time spent on individual work, applying educational leadership in the 21st century to one’s own institution

Action Planning: Time spent on individual work, applying educational leadership in the 21st century to one’s own institution Number of Hours:

5. How many Action Notebook items did you complete

How many Action Notebook items did you complete Number of Items:

6. How well did you complete the Action Notebook

How well did you complete the Action Notebook I completed all activities thoroughly

I completed most of the activities

I completed some activities

I completed very few activities

Your additional comments:

7. What was your experience in educational leadership in the 21st century before this course

What was your experience in educational leadership in the 21st century before this course I did not have any previous experience

I had some experience but was not very comfortable with it

I was very familiar and comfortable with it

Your additional comments:

8. Have you done or familiar with any of the following

Have you done or familiar with any of the following Intel Teach Essentials Master Teacher/Teacher Educator

Intel Teach Essentials Participant Teacher/Student Teacher

Used skoool.lk Science and Maths content

Helped students to participate at Sri Lanka Science & Engineering Fair (SLSEF)

None

Your additional comments:

9. How relevant was the course content for someone learning about educational leadership in the 21st century

How relevant was the course content for someone learning about educational leadership in the 21st century Very relevant

Mostly relevant

Somewhat relevant

Not relevant

Your additional comments:

10. Will this course improve the way you lead

Will this course improve the way you lead Yes

Your additional comments:

11. What other topics would you like to be included in the course

What other topics would you like to be included in the course

12. Any other suggestions to improve the course

Any other suggestions to improve the course

13. Are you located in Sri Lanka

Are you located in Sri Lanka Yes

If No, please specify Country:

14. Would you like to be contacted when new courses are available

Would you like to be contacted when new courses are available No

Yes

If Yes, E-mail addres:

15. Will you recommend this course to any other

Will you recommend this course to any other Yes

Not sure

16. Contact Information for the Participant Certificate

Contact Information for the Participant Certificate Name for the Participant Certificate:
School/NCoE/University/Organization:
Address Line 1:
Address Line 2:
City:
Province:
Postal Code:
Country:
Email Address:
Phone Number: