Teacher Evaluation - Heart of a Child Ministries

Teacher / Adult Evaluation form

Your feedback is invaluable as we continue to share our celebration of life presentations. Please share your candid comments below!

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What school/church are you from?

What is your title or association with the school?

Please rate your satisfaction with the following parts of the day with 1 being the worst and 5 being the best.

	1	2	3	4	5	Not Applicable
How would you rank the fetal development slides portion of presentation?	1How would you rank the fetal development slides portion of presentation? 1	2How would you rank the fetal development slides portion of presentation? 2	3How would you rank the fetal development slides portion of presentation? 3	4How would you rank the fetal development slides portion of presentation? 4	5How would you rank the fetal development slides portion of presentation? 5	Not ApplicableHow would you rank the fetal development slides portion of presentation? Not Applicable
How would you rank the ultrasound portion of the presentation?	1How would you rank the ultrasound portion of the presentation? 1	2How would you rank the ultrasound portion of the presentation? 2	3How would you rank the ultrasound portion of the presentation? 3	4How would you rank the ultrasound portion of the presentation? 4	5How would you rank the ultrasound portion of the presentation? 5	Not ApplicableHow would you rank the ultrasound portion of the presentation? Not Applicable
How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.)	1How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) 1	2How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) 2	3How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) 3	4How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) 4	5How would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) 5	Not ApplicableHow would you rank the main speaker(s) who shared their personal pro-life story? (If there was more than one speaker, please mention that in the comments section and share your thought on each speaker.) Not Applicable
How would you rank the hands-on activities of the presentation?	1How would you rank the hands-on activities of the presentation? 1	2How would you rank the hands-on activities of the presentation? 2	3How would you rank the hands-on activities of the presentation? 3	4How would you rank the hands-on activities of the presentation? 4	5How would you rank the hands-on activities of the presentation? 5	Not ApplicableHow would you rank the hands-on activities of the presentation? Not Applicable

If you have any comments to add about the presentation portions you rated above, please use these fields to share.

Fetal Development Comments

Ultrasound Comments

Speaker or Panel Comments (If you have comments on multiple speakers, please list who you are describing.)

Hands-On Activity Comments

Would you be willing to be a referral for other schools or organizations to contact?

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Teacher / Adult Evaluation form

If you have any comments to add about the presentation portions you rated above, please use these fields to share.