TASC - Adrienne's Post Program Feedback Feedback for Adrienne Question Title * 1. Where did you experience Adrienne's program? (AKA: what school do you go to?) OK Question Title * 2. Are you a Teenager Teacher Administrator Other (please specify) OK Question Title * 3. If you are a teenager, what grade are you in? 7th 8th 9th 10th 11th 12th Other (please specify) OK Question Title * 4. How would you rate Adrienne's overall program? (1 = horrible; 50 = average; 100 = awesome) 0 100 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 5. Adrienne's program was broken down into four parts: which part did you find most applicable to your life? Say It Out Loud (Learning the power behind speaking your dreams/needs out loud) Determination (Learning the value in spending five minutes EVERYday working on your goals): Program visual > the hourglass and wad of gum Attitude (Learning your attitude - whether positive or negative - really is a choice you get to make everyday): Program visual > Steve Urkel & the gym shorts Perseverance (Understanding life isn't always fair, but also understanding you get to choose how you will define perseverance) Program visual > the box of balloons and Adrienne's ankle Other (please specify) OK Question Title * 6. Considering the four elements above, which element could Adrienne improve upon or delete, if any? Please be specific in your suggestions so Adrienne can learn and improve upon her program/delivery... OK Question Title * 7. Considering all that is going on in high schools around the country do you think Adrienne's program would leave a lasting impact and could potentially be part of the solution? Yes, it is timely and a definite must for teenagers today! I don't think it would make a difference. I don't know. Comments OK Question Title * 8. Would you like Adrienne's team to contact you about bringing Adrienne's program to your school? If yes, please complete the info below. Name School School Address City/Town/State ZIP/Postal Code Email Address Phone Number OK Question Title * 9. How likely would you be to recommend Adrienne's program to a friend, student organization, or neighboring school? (1 = no recommendation; 50 = I would make a recommendation if someone asked; 100 = I have already recommended her) 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 10. Would you like to write a testimonial for Adrienne? Your testimonial will remain anonymous unless you add your name to the end. If you add your name it gives us permission to publish your first name and last initial. Thank you in advance!!! OK DONE