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* 1. School Name

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* 2. School District

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* 5. Which health education topic was presented?

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* 6. How knowledgeable was the IAK staff member(s) regarding the selected topic?

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* 7. In the future would you utilize IAK as a resource to meet required Oklahoma Health Standards?

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* 8. Rate the level of engagement and interaction of students during the lesson.

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* 9. What level of short-term impact do you anticipate this health education lesson having for your students?  Example:  students have positive behavior change related to health education topic, knowledge gained, etc.

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* 10. What level of long-term impact do you anticipate this health education lesson having on your students?  Example:  students have positive behavior change related to the health education topic, knowledge retained, etc.

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* 11. How beneficial was this health education presentation for you as the teacher?

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* 12. How confident are you in implementing this health education topic in your classroom after observing the IAK presentation?

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* 13. How do you plan on utilizing the information presented today?

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* 14. Overall, how satisfied are you with IAK's health education presentation?

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* 15. Would you be interested in in utilizing this lesson in a virtual option?

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* 16. Comments:

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