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    Reflection Form

Professional Development Hours
Report and Reflection Form

1.   Please provide your name and address so that we may send you documentation for your Professional Development Hours.

   First Name    

   Last Name    

   Address 1     

   Address 2     



   Zip Code      

2.   Please enter your email address.  (Required)

3.   Select from the drop down list the date and location of the Professional Development Workshop you attended?


4.   Investigation taught (Complete one Report and Reflection for each Investigation taught.):


5.   In what venue did you teach the Investigation?


   Description if Other Venue:  

6.   What grade level were the learners? (Check all that apply.)

    6th Grade 7th Grade 8th Grade 9th Grade 10th Grade
     11th Grade 12th Grade Other Grade (Please describe.):

   Description if Other Grade:  

7.   To approximately how many learners did you teach the Investigation?

    less than 10 11 - 20 21 - 30 31 - 40 more than 40

8.   Approximately how long did it take to prepare to teach the Investigation?

    less than 1 hour 1 - 2 hours 2 - 3 hours 3 - 4 hours more than 4 hours

9.   Did you use the PowerPoint Presentation Slides?

    Yes           No

       If "Yes", how did you use the PowerPoint Presentation Slides?

    Used all slides directly from the Detectives web site.
     Downloaded and used all slides from the Detectives web site.
     Used selected slides directly from the Detectives web site.
     Downloaded and used selected slides from the Detectives web site.
     Other (Please Describe.):

   Description if "Other":


10.   Did you use the Epi Log Worksheet(s)?

    Yes           No

11.   What alterations, if any, did you make to the suggested way of teaching the Investigation?


12.   How well do you think the Investigation helps learners achieve your state and/or national standards?

    Extremely helpful
     Slightly helpful
     Not helpful

13.   Did you agree with the standards that were identified as being aligned with the Investigation?

    Yes           No

14.   If "No," what changes would you make?


15.   Overall, how engaged were the learners in the Investigation?

    Extremely engaged
     Slightly engaged
     Not engaged

16.   Overall, how valuable was the Investigation?

    Extremely Valuable
     Slightly Valuable
     Not Valuable

17.   Would you teach the Investigation again?

    Yes           No

18.   If you would teach the Investigation again, what additional alterations, if any, would you make the next time?


19.   What advice would you give to a teacher who was considering teaching this Investigation?


20.   Please write a reflection about your experience teaching the Investigation?


21.   Did you have any problems navigating the website?

    Yes           No

       If "Yes", please describe.


   Would you like to be included on our mailing list?  (Optional)

    Yes           No

   Would you like to be notified of upcoming workshops?  (Optional)

    Yes           No