Kansas Connections
Programming Survey

Thank you for providing feedback on the recent Kansas Connections program offered to your class. Your response is valuable for the planning, creation, and retention of programs. Thank you!

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* 1. Name of Program

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* 2. Grade Level

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

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* 3. Is this your first Kansas Connection program?

Yes

No

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* 4. Would you ask for this program again?

Yes: how could it be better?

No: why not?

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* 5. Please rate your experience with our Programmers

	Poor	Average	Great
Rating	Rating Poor	Rating Average	Rating Great

Comments:

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* 6. Do you have suggestions for additional program topics?