Dear Educator,
Your students recently saw a RESPECT program that was developed to help young students have healthier and safer relationship skills, learn to "stop and think" before acting and how to make a friend. Please take a few minutes to share your feedback with us.

Thank you.

* 1. School /Organization Name

* 2. What age students participated in this program?

* 3. Please rate the following statements. DURING the RESPECT program...

  Strongly Disagree Disagree Neutral Agree Strongly Agree
The program got the attention of the participants.
The program maintained the attention of the participants.
The program was sufficiently interactive and motivating for the participants' developmental level.
The language was appropriate for the participants’ developmental level.
The program provided good information about safe pro-social relationship skills.
The program provided opportunities to practice safe pro-social relationships skills.
The program provided good information about impulse control.
The program provided opportunities to practice having impulse control.
The program provided good information about how to make a friend.
The program provided opportunities to practice how to make a friend.
The program provided adults present with tools to help their children or students.

* 4. Please rate the following statements. AFTER the RESPECT program...

  Strongly Disagree Disagree Neutral Agree Strongly Agree N/A
Participants or their caregivers talked about the program.
Participants demonstrated some of the skills taught in the program.
I have incorporated some of the program concepts or ideas into other parts of my teaching or lessons.
I would recommend this program to other schools, organizations or teachers.

* 5. What did RESPECT do best at this program?

* 6. What could RESPECT do better?

* 7. Comments

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