* 1. Your Name:

* 2. I am not aware of formative student assessment or how it might effect my teaching.

* 3. I’m not concerned about using formative assessment in mathematics.

* 4. I am completely occupied with other things.

* 5. I am concerned with students’ attitudes in completing formative assessment tasks in math.

* 6. I would like to know the effect of using formative assessment on my professional status.

* 7. I would like to know who would make decisions in adapting formative assessment as an instructional method to our curriculum.

* 8. I am concerned about not having enough time to organize myself each day.

* 9. I am concerned about conflict between this new project and my interests and responsibilities.

* 10. Although I feel I don’t know enough about formative assessment as a new instructional strategy, I am concerned about things in this area.

* 11. At this time, I am not interested in learning about formative assessment and constructivist teaching methods.

* 12. I would like to know what resources are available if we decide to adopt formative assessment as an instructional method.

* 13. I would like to know how my practice, teaching, or supervision is supposed to change.

* 14. I would like to know how my role will change when I am using formative assessment and recommended teaching methods.

* 15. I am concerned about time spent working with new classroom issues related to formative assessment.

* 16. Coordination of people and tasks is taking too much time.

* 17. I would like to see the use of feedback from staff to modify this project.

* 18. I would like to help other staff in their use of formative assessment as a constructivist teaching strategy.

* 19. I would like to familiarize other departments or persons in my school with the progress of this new approach.

* 20. I now know other approaches that might work better.

* 21. I would like to revise formative assessment and the recommended teaching approaches.

* 22. I have very limited knowledge about how to use formative assessment and the related instructional strategies.

* 23. I would like to discuss the possibility of using formative assessment in our math program.

* 24. I would like to have more information on time and energy commitments required by this new project.

* 25. I am concerned about how using formative assessment as an instructional strategy will affect students.

* 26. I would like to coordinate my efforts with others to maximize formative assessment’s positive learning effects.

* 27. I would like to develop working relationships with both our staff and outside staff using formative assessment.

* 28. I am concerned about evaluating my impact on students.

* 29. I would like to determine how to supplement, enhance, or replace formative assessment.

* 30. I would like to excite my staff/colleagues about their part in this approach.

* 31. I would like to know about what other staff are doing in this area.

* 32. I am concerned about revising my use of formative assessment.

* 33. I would like to modify our use of formative assessment as an instructional method based on the experiences of our staff.

* 34. I would like to know what the use of formative assessment will require in the immediate future.

* 35. I would like to know how formative assessment as an instructional strategy is better than what we have now.

Thank you for taking the time to complete this survey!

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