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* 1. Please provide the following information.

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* 2. Your teaching focus e.g. general, special ed/resource room, school psychologist:

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* 3. Age range of student participants:

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* 4. # of student participants:

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* 5. Put a check mark next to the top five you believe would be the most beneficial for you and your students to address and explore more in the classroom setting.

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* 6. Based on your experience, on a scale of 1 to 5, how would you rate the SuperD!ville demo lesson?

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* 7. Based on your experience with SuperD!ville, how important is it for your school to provide a full SuperD!ville curriculum (4 lessons, with multiple activities per lesson) to its teachers with LD students?

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* 8. In your opinion, what improvements, if any, could be made to this Super D! Show episode?

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* 9. In your opinion, what improvements, if any, could be made to the discussion guide/lesson plan?  


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* 10. In your opinion, what improvements, if any, should we make to the activity to better use it with your students?


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* 11. In your opinion, what improvements, if any, could be made to the hands-on activity?


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* 12. Check the aspects you think make SuperD!ville a valuable SEL tool for your school/classroom.


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* 13. Do you see this as something that could be used in general ed classrooms?

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* 14. Did you fit the activity and discussion for each module within one session?
Or, did you break it up? With this in mind, do you have suggestions about how we should specify a time frame when using our lessons?

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