Follow-Up Survey - Fuel Up to Play 60

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 FUEL UP TO PLAY 60 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.

Launch Kit

Reproducible Educator Information Sheet

Family Fitness Kit

Nutrition Know-How Kit

Physical Activity Kit

Healthy Breakfast Kit

Shop Smart Kit

4. Did you share the Educator Information Sheet?

5. 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.

6. 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.