Teachers & Parents - We want your comments!

Your comments are vital to helping us keep the Safe-T Rider program effective in teaching children about safety. Please take a moment to send your comments and suggestions to EESF. The Teacher Form is listed first, followed by the Parent Form.

• TEACHER FEEDBACK FORM
  
  

Teacher's Name:
School District:
School:
Date of Program:
Did you read the entire Teacher's Guide?:
	All of it Most of it Only what I needed
Was the Test Scoring Template useful?:
	Yes No
Comments:
Please rate the following:
Video:	5=High Quality 4 3 2 1=Low Quality
Teacher's Guide:	5=High Quality 4 3 2 1=Low Quality
Poster:	5=High Quality 4 3 2 1=Low Quality
Activity Book:	5=High Quality 4 3 2 1=Low Quality
Sticker:	5=High Quality 4 3 2 1=Low Quality
Certificate:	5=High Quality 4 3 2 1=Low Quality
Did the children benefit from the program?:
	Yes No
Comments:
Did you receive an adequate amount of materials?:
	Note: Some materials are sent on the information provided by school administrators Yes No
Comments:
Who administered the program?:
What grade level?:
Would you like to present the program next school year?:
	Yes No Possibly
Comments:
Colored fields indicate required information.

• PARENT FEEDBACK FORM
  
  

Did your child make you aware that he/she had participated in the program?:
	Yes No
Where did your child receive the program?:
	(School, home, online, club, etc.)
Has your child reminded you of the safety rules?:
	Yes No
Do you feel as though the program is effective?:
	Yes No
Comments: