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* 1. I am a teacher and work primarily with (please select one):

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* 2. What is the name of your school?

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* 3. If any, which group(s) of students in your classroom is (are) not performing to your expectations? (Select all that apply.)

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* 4. Is there an academic content area in which targeted professional learning would enhance your capacity as a teacher? (Select all that apply.)

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* 5. Which three areas of professional learning would most enhance your skills as a teacher and improve student learning in your school?

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* 6. Professional learning in differentiated instructional strategies would most enhance your skills or have the biggest impact on student achievement in which of the following student groups? (Select all that apply.)

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* 7. On a scale of 1 to 4, with 1 being already have and 4 being definitely need more, please rate the importance of each of the following factors for retaining highly qualified, effective teachers in your school.

  Already Have Unimportant Neutral Definitely Need More
Adding academic coaches at school level
Additional on-going quality professional learning
Additional resources for recruiting
Improved working conditions
Increased support from school administration
Increased funding for instructional supplies and equipment
Increased planning time for teachers
Increased support (induction and mentoring) for new teachers
Increased teacher salary
Increased teacher supplements or benefits
Support in acquiring additional qualifications including degrees and endorsements

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