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Module Feedback Form

A. General
1. Position: 2. School System/Organization:
Lowest Grade Highest Grade
3. Grade Levels of School (leave blank if not applicable):
. Predominant S!"#ect $a!ght (leave blank if not applicable):
%. &ighest 'egree (eceived: ). Gender:
*. +ears ,-.erience in ,d!cation (do not count this year):
/. 0od!le $itle:
1. 2n com.leting this mod!le3 4hich format did yo! !se5 (check all that apply)
Online 64e" "ased) 7' (O0 P'8 8ormat 6.rint format)
19. Over 4hat .eriod of time did yo! com.lete this mod!le5
11. 'id yo! s:i. any sections or .arts of sections of the mod!le5 +es ;o
2f so3 4hich ones5 (check all that apply) 2nstr!ctional section 7hec:ing yo!r !nderstanding section
Practice activity section 7lassroom activity section (eference section
12. <here did yo! access this mod!le5 (check all that apply)
School/<or: &ome Other (specify)
13. &o4 many mod!les in the =la"ama Professional 'evelo.ment series have yo! com.leted .rior to
this one5
B. For each of the statements below, please mark the box before the number to the right that best
describes your experience or judgment.
Strongl
y
=gree
=gree ;e!tral 'isagree
Strongly
'isagree
1. $he content of this mod!le 4as clear and easy
to !nderstand.
2. $he content in the mod!le follo4ed a logical
order.
3. $he mod!le contri"!ted to my :no4ledge and
!nderstanding in the to.ic area.
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% 3 2 1
% 3 2 1
1
Strongl
y
=gree
=gree ;e!tral 'isagree
Strongly
'isagree
. $he >7hec: +o!r ?nderstanding@ activity
contri"!ted to my :no4ledge and
!nderstanding.
%. $he >Practice =ctivity@ contri"!ted to my
:no4ledge and !nderstanding.
). $he >7lassroom =..lication@ activity a..ears
to "e a..ro.riate and !sef!l.
*. $he amo!nt of information and 4or:
contained in the mod!le 4as reasona"le.
/. $his mod!le 4ill "e a !sef!l .rofessional
develo.ment tool.
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% 3 2 1
% 3 2 1
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. !lease respond to each of the following "uestions. (Note: space will expand as you type)
1. <hy did yo! select this mod!le for st!dy5

2. <hat 4o!ld yo! li:e to have seen incl!ded in this mod!le or in .artic!lar sections of it that 4asnAt
incl!ded5

3. <hat co!ld have "een deleted from the mod!le or .artic!lar sections of it5

. <hat s!ggestions/recommendations do yo! have for im.roving this mod!le5

%. =dditional comments:

#f this is the first feedback sur$ey you ha$e completed for any module, please respond to the
"uestions in %ections & and ' that follow on the next page. (therwise go the bottom of last page
)p.*+ and follow the instructions for submitting your responses.
2
&. For each of the statements below, please mark the box before the number to the right that best
describes your opinion.
Strongl
y
=gree
=gree ;e!tral 'isagree
Strongly
'isagree
1. Online or 7'B(O0 learning is effective 4hen
!tilized as an integral .art of .rofessional
develo.ment.
2. 2 .refer online or 7'B(O0 .rofessional
develo.ment mod!les to meetings and 4or:sho.s.
3. 2 4o!ld not have !sed =la"amaCs online or 7'B
(O0 .rofessional develo.ment had there "een
another o.tion.
. 2 thin: 2 learned as m!ch from a online or 7'B
(O0 mod!le as 2 4o!ld have from a 4or:sho. on
this to.ic.
%. 2 4ill see: other o..ort!nities to .!rs!e
.rofessional develo.ment thro!gh 7's or online
activities.
). 2 .refer online or 7' formats for .rofessional
develo.ment "eca!se 2 can control my o4n
sched!le.
*. 2 .refer 4or:sho.s or gro!. .rofessional
develo.ment "eca!se 2 feel that learning is largely
a social e-.erience that online or 7'B(O0 does
not offer.
/. 2 "elieve =la"amaCs online or 7'B(O0
.rofessional develo.ment are more effective than
other methods 2 have e-.erienced.
% 3 2 1
% 3 2 1
% 3 2 1
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% 3 2 1
% 3 2 1
% 3 2 1
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'. (pinions on &eli$ery Method
1. 2 have .rior e-.erience !sing the follo4ing instr!ctional delivery methods (check all that apply).
Online 64e" "ased instr!ction) 2nstr!ction thro!gh 7'B(O0 delivery
2. <hat is yo!r .reference for receiving .rofessional develo.ment instr!ction3 ass!ming that all delivery
methods listed "elo4 are a..ro.riate to the content yo! 4ill st!dy5 (please rank the methods from 1-5 with
1 being the highest ranking)!
Online 64e" "ased instr!ction)
2nstr!ction thro!gh 7'B(O0 delivery
2nstr!ction thro!gh .rinted 6hard co.y) mod!les
Staff develo.ment 4or:sho.s 6meetings3 conferences3 1B2 day sessions3 etc.)
7ollege or other formal classes
3
3. 8or the mod!le to.ic #!st com.leted3 the follo4ing instr!ctional delivery methods 4ere availa"le to yo!.
(check all that apply)
Online (web based) 7'B(O0 delivery Print <or:sho. 8ormal 7lass
. <hy did yo! choose the delivery method6s) yo! !sed for st!dying the mod!le yo! #!st com.leted5 (check
all that apply)
a. 2 4as told to st!dy the mod!le !sing this delivery method.
". 7onvenience/ease of access.
c. 8le-i"ility of com.leting the mod!le on my time sched!le.
d. 2 li:e to 4or: "y myself.
e. 2 4as most comforta"le 4ith this method6s).
f. <hen !sing this method3 2 4as not concerned 4ith .rivacy.
%. <ere any of the follo4ing reasons involved in yo!r decision to !se the delivery method6s) yo! chose for
this mod!le5 (check all that apply).
a. 0y internet connection is too slo4 for !se of the online format.
". 2t offers greater .orta"ility 62 can ta:e the 7' or .rint co.y 4ith me).
c. 2 donCt li:e to :ee. trac: of hardBco.y .rinto!ts.
d. 2 donCt have access to a .rinter to ma:e hardBco.y .rinto!ts.
e. 2 donCt li:e the hardBco.y .rinto!t "eca!se it is li:e reading a te-t "oo:.
f. 2 li:e to read the material from a com.!ter screen.
g. 2 had no access to the P,P, 4e"site at school/4or: or at home.
h. 7'Cs and .rint co.ies are D.ermanentD3 the 4e" format is tem.orary.
i. 0y internet connection is not relia"le/sta"le eno!gh for me to !se the 4e".
). Other than the reasons a"ove3 4hat other reasons did yo! have for choosing the delivery method for the
mod!le yo! #!st com.leted:

EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
,hank you for completing the module feedback form.
<hen com.leted3 .lease save as a file and send as an attachment to: mailFala"ama.e.e.comG
(after saving file" you can click on #file$ in the menu at the top and then select #send to$ to initiate your e-mail)!
or
Print a com.leted co.y and send or fa- to yo!r school systemAs P,P, coordinator.

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