* 1. Please describe the institution where you teach (size, public/private, etc.) and your professional status there (title, discipline, years of service).

**Please also provide a good contact email.**

* 2. Please describe the types of courses and students you teach. For example, Web Development 1500 – Introduction to web development tools and techniques –Class meets twice a week for 75 minutes. It typically enrolls lower division undergraduate computer science majors. Class size runs about 25.

* 3. Did your previous practices use lecture or direction instruction as the predominant teaching method? If yes, how long ago did you change these practices?

* 4. Lecture and/or direct instruction are provided via some form of technology such as videos, learning management systems or podcasts.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 5. Class time is used for student-centered learning activities such as differentiation, mastery learning, group collaboration, project based learning, etc.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 6. Discussions are led by the students where outside content is expanded.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 7. Content is given context as it is related to real-world scenarios.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 8. Students taken ownership of the material and use their knowledge to lead one another without prompting from the teacher.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 9. As a teacher, you assume a facilitative role providing resources and support as needed allowing students to develop their own learning.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One

* 10. Students are actively engaged in problem solving and critical thinking that reaches beyond the traditional scope of the course.

  5-Always 4-Very Frequently 3-Occasionally 2-Rarely 1-Never
Select One
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