Directions: Complete this survey after each PPW lesson provided.  This survey takes 2 minutes to complete.

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1. Today's date: (Required.)

Date

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2. Code number:

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3. What was your level of comfort while providing the PPW lesson? (Required.)

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4. Did you use active presenting strategies (i.e., good eye contact, body positioning, changing tone of voice, and listening)? (Required.)

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5. What was your level of enthusiasm and passion while presenting the lesson? (Required.)

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6. How smooth and continuous was the flow of the lesson delivery? (Required.)

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7. How accurately did you follow the protocol (i.e., adherence to the script,
no ad libbing extra content)?
(Required.)

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8. Was the lesson content provided completely (i.e., covered all of the
scripted messages)?
(Required.)

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9. What was the participants’ responsiveness to the lesson (i.e., listening, answering, showing interest)? (Required.)

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10. Which PPW program was implemented? (Required.)

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11. How was the PPW lesson implemented? Check all that apply. (Required.)

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12. Did you receive training to implement the PPW program in the last 3 years? (Required.)

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13. What did you like BEST about implementing the PPW lesson? (Required.)

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14. What did you like LEAST about implementing the PPW lesson? (Required.)

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