ROCKETLive!
SCHOOL OFFICER SURVEY - "SENSE OF SAFETY & BEYOND!"

TO: SCHOOL OFFICERS

Thank you for your responses following your ROCKETLive!"SENSE OF SAFETY & Beyond!" Presentation. Please answer each question by clicking on 1 box. Complete this survey after your final presentation at the school.

Your responses are very helpful!

Question Title

* 1. RATE THE STUDENTS' INTEREST LEVEL AND ENGAGEMENT IN YOUR ROCKETLive! PRESENTATION:

EXCELLENT

VERY GOOD

SATISFACTORY

LOW

NONE

Question Title

* 2. RATE HOW MUCH YOUR PRESENTATION IMPROVED YOUR RELATIONSHIP WITH THE STUDENTS and HOW THEY VIEW OFFICERS?

Excellent

Very Good

Satisfactory

Low

None

Excellent

Very Good

Satisfactory

Low

None

Question Title

* 3. AFTER YOUR PRESENTATION(s), RATE THE STUDENT UNDERSTANDING OF THE SAFETY CONCEPTS YOU PRESENTED:

	EXCELLENT	VERY GOOD	SATISFACTORY	LOW	UNSATISFACTORY	DOES NOT APPLY
YOUR 6 SENSES	YOUR 6 SENSES EXCELLENT	YOUR 6 SENSES VERY GOOD	YOUR 6 SENSES SATISFACTORY	YOUR 6 SENSES LOW	YOUR 6 SENSES UNSATISFACTORY	YOUR 6 SENSES DOES NOT APPLY
CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT"	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" EXCELLENT	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" VERY GOOD	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" SATISFACTORY	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" LOW	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" UNSATISFACTORY	CROSSING THE STREET SAFELY; LOOK "LEFT-RIGHT-LEFT" DOES NOT APPLY
BIKE SAFETY	BIKE SAFETY EXCELLENT	BIKE SAFETY VERY GOOD	BIKE SAFETY SATISFACTORY	BIKE SAFETY LOW	BIKE SAFETY UNSATISFACTORY	BIKE SAFETY DOES NOT APPLY
FIND SAFE PEOPLE AND PLACES	FIND SAFE PEOPLE AND PLACES EXCELLENT	FIND SAFE PEOPLE AND PLACES VERY GOOD	FIND SAFE PEOPLE AND PLACES SATISFACTORY	FIND SAFE PEOPLE AND PLACES LOW	FIND SAFE PEOPLE AND PLACES UNSATISFACTORY	FIND SAFE PEOPLE AND PLACES DOES NOT APPLY
NO BULLYING -- WERE YOU KIND TODAY?	NO BULLYING -- WERE YOU KIND TODAY? EXCELLENT	NO BULLYING -- WERE YOU KIND TODAY? VERY GOOD	NO BULLYING -- WERE YOU KIND TODAY? SATISFACTORY	NO BULLYING -- WERE YOU KIND TODAY? LOW	NO BULLYING -- WERE YOU KIND TODAY? UNSATISFACTORY	NO BULLYING -- WERE YOU KIND TODAY? DOES NOT APPLY
LOCATE YOUR EXITS	LOCATE YOUR EXITS EXCELLENT	LOCATE YOUR EXITS VERY GOOD	LOCATE YOUR EXITS SATISFACTORY	LOCATE YOUR EXITS LOW	LOCATE YOUR EXITS UNSATISFACTORY	LOCATE YOUR EXITS DOES NOT APPLY
DIAL 9-1-1 and KEEPING YOU SAFE	DIAL 9-1-1 and KEEPING YOU SAFE EXCELLENT	DIAL 9-1-1 and KEEPING YOU SAFE VERY GOOD	DIAL 9-1-1 and KEEPING YOU SAFE SATISFACTORY	DIAL 9-1-1 and KEEPING YOU SAFE LOW	DIAL 9-1-1 and KEEPING YOU SAFE UNSATISFACTORY	DIAL 9-1-1 and KEEPING YOU SAFE DOES NOT APPLY
KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY EXCELLENT	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY VERY GOOD	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY SATISFACTORY	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY LOW	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY UNSATISFACTORY	KNOW YOUR LANDMARKS -- STAY WITH YOUR BUDDY DOES NOT APPLY
GET AWAY FROM DANGER	GET AWAY FROM DANGER EXCELLENT	GET AWAY FROM DANGER VERY GOOD	GET AWAY FROM DANGER SATISFACTORY	GET AWAY FROM DANGER LOW	GET AWAY FROM DANGER UNSATISFACTORY	GET AWAY FROM DANGER DOES NOT APPLY
KEEP YOUR HANDS TO YOURSELF	KEEP YOUR HANDS TO YOURSELF EXCELLENT	KEEP YOUR HANDS TO YOURSELF VERY GOOD	KEEP YOUR HANDS TO YOURSELF SATISFACTORY	KEEP YOUR HANDS TO YOURSELF LOW	KEEP YOUR HANDS TO YOURSELF UNSATISFACTORY	KEEP YOUR HANDS TO YOURSELF DOES NOT APPLY

Question Title

* 4. RATE YOUR OVERALL EXPERIENCE IN PRESENTING STUDENTS WITH THE ROCKET'S "SENSE OF SAFETY & Beyond!" PROGRAM:

EXCELLENT

VERY GOOD

SATISFACTORY

LESS THAN SATISFACTORY

POOR

Question Title

* 5. WHAT PART OF YOUR PRESENTATION(s) DID THE STUDENTS ENJOY THE MOST?

Question Title

* 6. WHAT POSITIVE THINGS WERE ACHIEVED BY YOUR VISIT?

Question Title

* 7. WHAT SUGGESTIONS DO YOU HAVE FOR FUTURE PRESENTATIONS?

Question Title

* 8. GRADE LEVEL-- check all that apply to your visit

PRE-K to K

1ST GRADE

2ND GRADE

OTHER

Other (please specify)

Question Title

* 9. Please enter information below:

Officer Name

Your email

Date of visit

School Name

City

State

Teacher Names/Principal

Total Number of Students:

ROCKETLive! SCHOOL OFFICER SURVEY - "SENSE OF SAFETY & BEYOND!"

TO: SCHOOL OFFICERS

Question Title

* 1. RATE THE STUDENTS' INTEREST LEVEL AND ENGAGEMENT IN YOUR ROCKETLive! PRESENTATION:

Question Title

* 2. RATE HOW MUCH YOUR PRESENTATION IMPROVED YOUR RELATIONSHIP WITH THE STUDENTS and HOW THEY VIEW OFFICERS?

Question Title

* 3. AFTER YOUR PRESENTATION(s), RATE THE STUDENT UNDERSTANDING OF THE SAFETY CONCEPTS YOU PRESENTED:

Question Title

* 4. RATE YOUR OVERALL EXPERIENCE IN PRESENTING STUDENTS WITH THE ROCKET'S "SENSE OF SAFETY & Beyond!" PROGRAM:

Question Title

* 5. WHAT PART OF YOUR PRESENTATION(s) DID THE STUDENTS ENJOY THE MOST?

Question Title

* 6. WHAT POSITIVE THINGS WERE ACHIEVED BY YOUR VISIT?

Question Title

* 7. WHAT SUGGESTIONS DO YOU HAVE FOR FUTURE PRESENTATIONS?

Question Title

* 8. GRADE LEVEL-- check all that apply to your visit

Question Title

* 9. Please enter information below:

ROCKETLive!
SCHOOL OFFICER SURVEY - "SENSE OF SAFETY & BEYOND!"