Note: This survey was designed to measure student experience in a pilot. While specific curricular references have been removed, this survey should be modified to meet your district’s unique measurement needs.
Introduction This [spring/summer/winter/fall], your district was involved with piloting (trying out) [NAME(S) OF PROGRAM] in your classroom. This survey asks you questions about your experience participating in the pilot of one of these programs. We would like to hear from you about your experience with the pilot. The questions you are about to be asked are related to the pilot in your district.
There are only twenty-two questions. We appreciate hearing from you. If at any time you do not want to continue this survey, you may stop at any time.
We really do want to hear from you, but if you decide not to complete the survey there will be no impact on your involvement in piloting the program at your school or on your grades.
Thank you for letting us know about your experience!
If your teacher has provided you with a unique ID number for this survey, please type this number into the box below, then click the "next page" button. If you do not have a unique ID number for this survey, skip this question and click the "next page" button.
I am excited about learning when we use this program
I am more engaged when we use this program
The program helped me to understand what we were being taught in class
Tell us what you think about your teacher(s) using the program in your class(es). (Answer Choices: Strongly Disagree, Disagree, Not Sure, Agree, Strongly Agree)
The program is easy for my teacher(s) to use
The program improved how my teacher(s) taught class
My teacher(s) was excited to use this program in class
My teacher(s) understood how to use the program
Do you like the program that was piloted in your school?