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CLIMB Theatre Class Evaluation
What are the names of the Actor-Educators who came to your room?
Your Agency or School:
Your Name:
Grades taught:
Email address (for customer service follow-up only):
Date of program:
What did you observe as the strengths of these Actor-Educators?
What are some areas for improvement?
We want to be the best Actor-Educators possible. Your honest responses to the following will help us grow.
How would you rate the class overall?
Pick one
Poor
Fair
Good
Excellent
Ability to engage students
Pick one
Poor
Fair
Good
Excellent
Appropriate energy level
Pick one
Poor
Fair
Good
Excellent
Activities appropriate to the functioning level of the students
Pick one
Poor
Fair
Good
Excellent
Classroom management
Pick one
Poor
Fair
Good
Excellent
Starting and ending on time
Pick one
Poor
Fair
Good
Excellent
Acting ability
Pick one
Poor
Fair
Good
Excellent
Meeting your expectations for CLIMB
Pick one
Poor
Fair
Good
Excellent
Do you think your students learned something valuable?
Pick one
Yes
Maybe
No
Comments:
During the CLIMB presentation, my students were engaged...
Pick one
For the entire class
For parts of the class
Not at all
Comments:
Would you like CLIMB to return to your school?
Yes
No
What topic would you most like to see presented?
Select from list
Bullying and Harassment
Cyberbullying
Empathy
Respect
Self-Control
Respect for the Environment
Responsibility
Acceptance of Differences
Substance Abuse Prevention
Academic Achievement
Resiliency
Personal Body Safety
Cliques and Exclusion
None of these
Others:
What, more than anything, do you think students need to know or do to be successful at school or elsewhere?
CLIMB's program at your school was made possible, in part, through funds given by foundations, corporations, and individuals. Would you be willing to write a note of support to help CLIMB to receive funding?
Yes
No
--
If you answered yes, please copy and paste the following into your browser:
www.climb.org/support_letter
CLIMB Inc
6415 Carmen Ave E
Inver Grove Heights, MN 55076
Outreach Department
(651) 453-9275 x19
Gaming Department
Laurie Gluesing
(651) 453-9275 x11
Teaching Company
Julie Janus
(651) 453-9275 x20
Performing Company
Buffy Sedlachek
(651) 453-9275 x40
Copyright©2008
CLIMB Theatre