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* 1. I am a teacher and work primarily with (Please select one answer).

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* 2. What is the name of city or county school system your child is in?

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* 3. What is name of your school system?

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* 4. If any. which group(s) of students in your classroom is (are) not performing to your expectations? (Please select all that apply).

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* 5. Is there an academic content area in which targeted professional learning would enhance your capacity as a teacher? (Please select all that apply).

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* 6. Which three areas of professional learning would enhance your skills as a teacher? (Please select three areas linked to your school or system improvement plan).

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* 7. With which of these groups of students would professional learning in differentiated instructional strategies most enhance your skills or have the biggest impact on student achievement? (Please select all that apply)

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* 8. On a scale of 1 to 5, with 1 being unimportant and 5 being very important, please rate the importance of each of the following factors for retaining highly qualified, effective teachers in your school.

  1 2 3 4 5
Adding academic coaches at school level
Additional quality professional learning
Additonal resources for recruiting
Improved working conditions
Increased support form school administration
Adequate building level administrative personnel
Increased funding for instructional supplies and equipment
Increased planning time for teachers
Increased support (induction and mentoring) for new teachers
Increased teacher salary
Increased teacher supplement or benefits
Other (Please specify__________________________________________

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