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* 1. How did you hear of the One Out of Five: Disability History and Pride Project resource?

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* 2. What is your role?

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* 3. If you work for a specific school or district, which one(s).

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* 4. If you are an educator, which subject/setting did you teach using the One Out of Five: Disability History and Pride Project resource?

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* 5. If you are an educator, what grade level/setting did you teach using the One Out Of Five: Disability History and Pride Project resource?

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* 6. If you work for another kind of organization, please share that here.

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* 7. With whom did you use the resource?  Tell us about the audience (e.g. how many people, ages, demographics).

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* 8. Where did you implement the resource?

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* 9. When did you implement the resource?

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* 10. How much time did you spend using the resource?

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* 11. Which aspects of the resource did you use?

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* 12. If you used extended lessons or additional resources (provided in the resource or designed by you), which did you use?

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* 13. How did the resource impact your teaching/presentation practices?

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* 14. How did the resource impact student/audience learning?  How did the audience respond?

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* 15. How might you improve the One Out of Five: Disability History and Pride Project resource?

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* 16. Would you recommend the resource to other teachers, schools, and/or organizations?

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* 17. If you have already shared it, with whom?

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* 18. If you wouldn't share it, why not?

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* 19. Would you be willing to be contacted by email or phone to spend more time giving your feedback to the Office of the Education Ombuds?  (This will not add you to any OEO email distribution or contact lists.)

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* 20. Optional: What is your name?

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* 21. Optional: What is your email address?

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* 22. Optional: What is your phone number?

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* 23. Additional Comments

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