TerraCycle Curriculum Feedback Form 1. TerraCycle Curriculum Feedback Question Title * 1. Please provide us with your contact information. Name: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: Phone Number: Question Title * 2. Please please provide us with which grade lesson you used. K - 2: Where Do Apples Go? 3 - 5: What Role Do I Play in the Material Cycle? 6 - 8: Biomimicry: Nature as Model, Measure and Mentor 9 - 12: An Exploration of Cradle to Cradle Design Thinking Question Title * 3. What did you like about the lesson(s)? Question Title * 4. Did you teach the lesson as it was designed? Yes No Question Title * 5. Did you adapt in anyway? (Please describe). No Yes Question Title * 6. Did you contribute it to the TerraCycle group on Curriki (www.curriki.org)? Yes No Next