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

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* 1. Today's date:

Date

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* 2. Code number: 

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* 3. What was your level of comfort
while providing the PPW lesson?

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

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* 5. What was your level of enthusiasm and
passion while presenting the lesson?

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* 6. How smooth and continuous was the 
flow of the lesson delivery?

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

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

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

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* 10. Which PPW program was implemented?

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* 11. How was the PPW lesson implemented? Check all that apply.

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* 12. What did you like BEST about implementing the PPW lesson?

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* 13. What did you like LEAST about implementing the PPW lesson?

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