Follow-Up Survey - On Our Sleeves/Take a Daytime Break

Name*

First Last

Email*

School*

Address*

Street Address City State ZIP Code

Grades you teach:

1. Have you used (or do you plan to use) the ON OUR SLEEVES™ program?

2. Did you (or do you plan to) share this program with other teachers?

If YES, how many teachers?

If NO, why not?

3. Please evaluate these components of the program.

Teacher's Guide

Activity 1: Mental Health Myths and Facts

Activity 2: Take Care

Family Take-Home Letter

4. Did you download and distribute the Family Take-Home Letter to your students?

5. How important are topics such as mental health in planning your school curriculum?

6. I would like to see more lessons focused on the following areas (check all that apply):

If you selected OTHER, please provide details.

7. Are you interested in receiving free YMI educational materials of this kind in the future?

If YES, please tell us the types of materials you would use/want.

8. Have you visited YMI’s website (www.ymiclassroom.com) to download any other teaching materials?

If YES, which materials?

Please share any additional comments or suggestions.