Follow-Up Survey - Head Lice Facts from Max

Name*

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Email*

School*

Address*

Street Address City State ZIP Code

Grade You Teach

1. Have you used (or do you plan to use) the HEAD LICE FACTS FROM MAX 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 TAKE-HOME FACT SHEET.

5. Please evaluate the program's STUDENT ACTIVITY SHEETS.

6. Please evaluate the program's WALL POSTER.

7. Please evaluate the program's downloadable HEAD LICE ALERT LETTER.

8. Did you distribute the TAKE-HOME FACT SHEET to your parents?

If NO, why not?

9. Have you used the downloadable HEAD LICE ALERT LETTER?

If NO, why not?

10. Did you display the WALL POSTER?

If YES, where and for how long?

If NO, why not?

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

If YES, which materials?

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

Please share any additional comments or suggestions.

Follow-Up Survey – Head Lice Facts from Max