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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What school do the students who went on the Act One field trip attend?

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* 4. What grade(s) do you teach? Select all that apply.

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* 5. Which field trip did you attend?

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* 6. How many students attended the field trip from your class? (Please answer in whole numerals.)

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* 7. How many adults (teachers and chaperones) accompanied your class on the field trip? (Please answer in whole numerals.)

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