Growing up with PKU

This survey is intended to gather opinions and information from educators and individuals who have utilized our K-12 online course, "Growing up with PKU." Please complete any question that applies to your use of this presentation. (Items marked with an asterisk * require a response.)
We value your input and appreciate your participation.
1. Did you present "Growing up with PKU" to a class or group of students?
2. Please select all answers that apply to you.
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3. Please tell us the name and location of your school or facility. (required)
If you viewed the presentation as an individual, please provide the school district, city and state in which you reside.
4. Please enter the date "Growing up with PKU" was presented/viewed.
MM DD YYYY
Date:
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5. Please select the closest matches in the boxes below.
ClassGrade level
Class & Grade level
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6. Please indicate the diversity of your class by typing in the number of students that best reflects each identifier: (At least two boxes must be completed.)If you viewed the program alone, enter "1" in the box beside your gender and "1" in the box beside your ethnicity.
7. Was "Growing up with PKU" age-appropriate for this class/group?
8. Does "Growing up with PKU" meet a curriculum standard for this class/group?
9. Did the class/group/you enjoy the presentation?
10. If you presented "Growing up with PKU" to a class or group, please share any comments that were offered.
11. Do you have any ideas that would improve the "Growing up with PKU" presentation? If so, please indicate the area that would benefit from changes and comment in the box below.
12. Is there anything else you would like us to know about this course?
13. Would your school like a presentation on another topic related to public health and the public health laboratory?
14. Would you like to be contacted to discuss any comments or opinions expressed in this survey?
15. If you selected "Yes" above, please provide your contact information.