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* 1. Teacher Email (optional):

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* 2. School Name:

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* 3. School District:

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* 6. Number of students participating:

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* 7. Which virtual health education topic was presented?

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* 8. Rate the level of engagement and interaction of students during the virtual health education lesson:

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* 9. What level of short-term impact do you anticipate this virtual health education lesson having on your students?  Example:  students have positive behavior change related to the health education topic, knowledge gained, etc.

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* 10. What level of long-term impact do you anticipate this health education lesson having on your students?  Example:  students have positive behavior change related to the health education topic, knowledge retained, etc.

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* 11. How beneficial was this health education presentation for you as the teacher?

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* 12. Was the content appropriate and applicable to your students?

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* 13. In the future would you utilize IAK virtual lesson plans as a resource?

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* 14. How confident were you in implementing the virtual health education topic with your class?

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* 15. How did you implement the virtual health education lesson plan?

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* 16. Please provide any feedback that will be helpful in developing future virtual lesson plans.

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