Question Title

* 1. First Name

Question Title

* 2. Last Name:

Question Title

* 3. Name of your School

Question Title

* 4. School Town/City:

Question Title

* 5. Email Address:

Question Title

* 6. Your Class Year Level:

Question Title

* 7. Which program did your students watch?

(If you had students participate in both the Primary and Secondary performance, please fill out a separate evaluation for each.)

Question Title

* 8. Rate the overall educational value of this program (1=Low 7=High)

Question Title

* 9. Rate the program's ability to stimulate classroom discussion (1=Low 7=High)

Question Title

* 10. Rate the likelihood that students will retain the material covered (1=Low 7=High)

Question Title

* 11. Rate the ability of live theatre to increase the student's capacity for retaining the message (1=Low 7=High)

Question Title

* 12. Did you receive the printed learning materials that were delivered to your school?

T