Teacher Feedback Survey printable pdf download

LifeSkills Training Program

Teacher Feedback Survey

Dear LST facilitator,

Thank you for participating as an instructor in the LifeSkills Training project this year. You are a key

player in an evaluation which looks at implementing a research-based program in the United States.

Following is a feedback form to be submitted after the completion of the LST program with your

students (after teaching the first round of students, if you are teaching LST in multiple sessions

throughout the year).

This information is an important piece of our evaluation and will allow you to express your perception

of the program and the successes and challenges you encountered during implementation. Please feel

free to include as much information as you feel will be helpful in our assessment of the

implementation process at your site.

It is very important to submit the form to us soon after implementation ends because our data are

analyzed immediately after the school year has concluded for all sites. These reports are read by the

technical assistance providers, to assess common problems that then may be addressed through

technical assistance. The reports will provide feedback to your school district on how well LST has been

implemented and may suggest areas of concern and methods for improvement.

You will receive a gift card in the amount of $20 as a small token of our appreciation for your time and

effort in completing the LST Teacher Feedback form. This form should take about 10-15 minutes to

complete. If you would like to submit the survey online, it may be found at:

Please be sure to include your name and address at the end of the survey. Your name needs to be

listed only to ensure that your gift card is sent directly to you, and for purposes of following up with

teachers who have not submitted feedback. No names will ever be associated with feedback data or

used for any other purpose.

Thank you again for your participation and feedback.

Sincerely,

LST Staff

Center for the Study and Prevention of Violence (CSPV)

Center for the Study & Prevention of Violence, Institute of Behavioral Science, University of Colorado

483 UCB, Boulder, CO 80309 | 303-492-1032 Phone | 303-492-2151 Fax

| blueprints@colorado.edu

Teacher Feedback Survey