Thank you for piloting an ELO activity. Since it is newly created material, we are asking for feedback from your experience trying it out. Your comments and suggestions are vital to making improvements so the lessons and information are clear, useful and engaging.

Thank you for your input!

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* 1. What state are you in?

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* 2. If you are in Nebraska, what school district are you in?

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* 3. Which activity are you giving feedback on?

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* 4. How many students did the activity with you? (Please type the number of students next to the grade they are currently in.)

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* 5. Please rate your level of agreement with each statement below.

  Strongly agree Somewhat agree Somewhat disagree Strongly disagree
This activity was easy to understand.
This activity was easy to do with the students.

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* 6. Please rate each item as it applies to most students who participated in the activity.

  High Medium Low
Student interest in the activity
Opportunity for students to practice social emotional skills

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* 7. Please provide at least one suggestion to improve the activity you identified above.

Thank you for your feedback! If you have any questions or want to follow-up, please contact BSBinfo@nebraskachildren.org.

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