Teacher Evaluation Form

Please fill out this form the first time you use the CD-ROM in your classroom.

Teacher's Name:		E-Mail or phone:
School:		City:
Lesson Plan/Unit and Parts of CD Used:		State:
		Grade Level:

Question	Total # of Students Assessed	# Responding "YES" with correct explanation	# Responding "Yes" but gave no explanation or incorrect explanation	# Responding "NO"	# Responding "NOT SURE"
Pre-Assessment Results:
1a. I know what public policy is.
1b. I can give examples of public policy.
1c. I...can help create and change public policies
Post-Assessment Results:
1a. I know what public policy is.
1b. I can give examples of public policy.
1c. I...can help create and change public policies

2. When comparing the pre- and post-assessment student responses to Question 2, was there a change in student attitudes or knowledge about what they can do to create or change public policy?

Yes

Describe the typical student responses to Question 2 on the pre- and post-assessment:

Pre-Assessment
Post-Assessment

Additional Comments: