First Name:    
   Last Name:    
   Address 1:     
   Address 2:     
   City:             
   State:           (Select State)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutD.C.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
   Zip Code:      
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2.   Select from the drop down list the date and location of the YES Professional Development Workshop you attended.

   (Select Workshop attended) July 14-18, 2008 -- CDC WORKSHOP II June 30-July 2, 2008 -- Central New Jersey WORKSHOP June 9-13, 2008 -- CDC WORKSHOP I February 2008 -- Clarion University WORKSHOP July 2007 -- Montclair State University WORKSHOP Spring 2007 -- Montclair State University

3.   Select from the dropdown list the YES Teaching Unit that you taught.

   (Select Teaching Unit taught) Adolescent Suicide: The Role of Epidemiology in Public Health Alpine Fizz and Male Infertility: A Mock Trial An Association: TV and Aggressive Acts An Outbreak of Legionnaires' Disease Attributable Risk Applications in Epidemiology Bicycle Helmet Effectiveness in Preventing Injury and Death Case Control Study Casualties of War: The Short- and Long-Term Effects of the 1945 Atomic Bomb Attacks on Japan Confounding in Epidemiology Cross-Sectional Study Design and Data Analysis Descriptive Epidemiology of Births to Teenage Mothers Disease Outbreak Investigation Ecologic Studies Epidemiology and Public Health Policy: Using the Smoking Ban in New York City Bars as a Case Study Ethical Issues in Epidemiology Examining the Plague: An Investigation of Epidemic Past and Present Measures in Epidemiology Mortality and the Transatlantic Slave Trade Observational Studies and Bias in Epidemiologic Research Outbreak Investigation in a Vermont Community Hospital Risk Perception Screening and Diagnostic Tests Should the Population Be Screened for HIV? Testing Ephedra: Using Epidemiological Study to Teach Concepts of the Scientific Method

4.   In what venue did you teach the YES Teaching Unit?

   (Select a Venue) Biology Class Social Sciences Class Mathematics Class Environmental Science Class Health Class Statistics Class English Class Chemistry Class After-School Program Museum Summer Enrichment Program Professional Development Workshop Other (Please describe.):

   Description if Other Venue:  

5.   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 (Please describe.):

   Description if Other:  

We would like you to reflect on the experience of teaching this YES Teaching Unit and, in responding to questions 6, 7, 8, and 9, consider the types of information that might be helpful to another teacher who is considering teaching this unit for the first time.

6.   How did you prepare to teach this YES Teaching Unit? (The following questions are given as prompts. Please do not limit your responses to merely answering these questions. How long did it take to prepare? What additional readings and resources were used? How well did the unit align with your state standards? Which standards did it meet?)
   

7.   What adaptations of this YES Teaching Unit did you / will you make? (What sections of the unit did you select and why did you select them? What sections of the unit did you omit and why did you omit them? How did you manage your time? How did you manage your students?)
   

8.   How did the students respond to the teaching of this YES Teaching Unit? (How interested were your students? Did they stay on task? Are there interesting anecdotes to share? What questions did students ask? Do you think students would be interested in you teaching another YES Unit?)
   

9.   Is there any other advice you wish to share with another teacher who is considering teaching this YES Teaching Unit for the first time?
   

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