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* 1. Name

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* 2. School Name

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* 3. School District

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* 4. Are you part of the Pearl STEM Lab?

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* 5. How long have you been in K-12 education?

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* 6. Instructional Content Area(s)

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* 7. Do you carry any special licenses (such as, AIG, Special Education, Advance Placement, etc.)? Please list all below.

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* 8. Which of the following ways have you come to learn about regenerative medicine?

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* 9. Are you aware of the Wake Forest Institute for Regenerative Medicine (WFIRM) in Winston-Salem?

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* 10. Have you and/or your students had any exposure to the regenerative medicine field?

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* 11. If yes, describe.

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* 12. Do you currently provide any classroom instruction related to regenerative medicine science and technologies (e.g., stem cell biology, gene therapy, 3D bioprinting technology)?

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* 13. If yes, describe.

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* 14. Are you aware of regenerative medicine pipeline programs to increase student awareness of education and career opportunities?

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* 15. If yes, describe.

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* 16. Are you interested in learning more about regenerative medicine in order that you can integrate into your classroom

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* 17. Do you understand the term "Regenerative Medicine" (RM)?

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* 18. Select areas of Regenerative Medicine you are interested in learning more about in order that you can integrate into your classroom.

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* 19. How do you currently assess the effectiveness of new instructional content in your classroom?

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* 20. What types of feedback mechanisms do you find most useful when integrating new educational content or programs?

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* 21. Additional Comments:

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