Follow-Up Survey - Max Says Make January Head Lice Alert Month

Name*

First Last

Email*

School*

Address*

Street Address City State ZIP Code

1. Have you used (or do you plan to use) the "Max Says Make January Head Lice Alert Month" program?

If YES, how many students have used or will use the program in your school?

If NO, why not?

2. Did you or do you plan to share the program with other teachers?

If YES, how many teachers?

If NO, why not?

3. Please evaluate the program's TEACHER'S GUIDE.

4. Please evaluate the program's PARENT INFORMATION SHEET.

5. Please evaluate the program's WALL POSTER.

6. Please evaluate the program's PARENT COUPONS.

7. Did you distribute the PARENT INFORMATION SHEET to your parents?

If NO, why not?

8. Did you distribute the COUPONS to your parents?

If NO, why not?

9. Did you display the WALL POSTER?

If YES, for how long?

10. Are you interested in receiving free YMI teaching materials in the future?

11. Have you downloaded any other free teaching materials from the YMI website?

If YES, which materials?

Please share any additional comments or suggestions.

Follow-Up Survey – Max Says Make January Head Lice Alert Month