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HOPE Instructor's Survey for PPW Programs
Directions: Complete this survey after each PPW lesson provided. This survey takes 2 minutes to complete.
1.
Today's date:
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
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31
2.
Code number:
3.
What was your level of comfort while providing the PPW lesson?
A great deal
A lot
A moderate amount
A little
None at all
4.
Did you use active presenting strategies (i.e., good eye contact, body positioning, changing tone of voice, and listening)?
A great deal
A lot
A moderate amount
A little
None at all
5.
What was your level of enthusiasm and passion while presenting the lesson?
A great deal
A lot
A moderate amount
A little
None at all
6.
How smooth and continuous was the flow of the lesson delivery?
A great deal
A lot
A moderate amount
A little
None at all
7.
How accurately did you follow the protocol (i.e., adherence to the script,
no ad libbing extra content)?
A great deal
A lot
A moderate amount
A little
None at all
8.
Was the lesson content provided completely (i.e., covered all of the
scripted messages)?
A great deal
A lot
A moderate amount
A little
None at all
9.
What was the participants’ responsiveness to the lesson (i.e., listening, answering, showing interest)?
A great deal
A lot
A moderate amount
A little
None at all
10.
Which PPW program was implemented?
SPORT PPW
InShape PPW for Young Adults
Vaping PPW
Marijuana PPW
Opioid PPW
SPORT 3 PPW
SPORT Health Behaviors
PPW Parent Program
SPORT Alcohol & Cannabis PPW
Opioid & Stimulant PPW for Young Adults
Other (please specify)
11.
How was the PPW lesson implemented? Check all that apply.
To one person individually/one-on-one
To a group
In person
Online
To elementary school-aged youth
To middle school-aged youth
To high school-aged youth
To young adults
Other (please specify)
12.
Did you receive training to implement the PPW program in the last 3 years?
Yes, online training
Yes, in-person training
Yes, but not in the last 3 years
Never
13.
What did you like BEST about implementing the PPW lesson?
14.
What did you like LEAST about implementing the PPW lesson?