Serving Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin and 35 Tribes

Contact Us Search: All EPA This Area

Name:

Business or Organization: 

Street Address: 

City:

State:                           Zip Code:

E-mail address: 

Phone number:

Please choose the comment that best represents your answer to the statements below: 

The toolbox appears to be a useful tool for classroom instruction

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

The topics covered in the fact sheets are relevant

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

I will use the toolbox in my community

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

The lesson plans are clear and easily understood

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

The method of evaluation is age appropriate

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

The materials needed for activities seems reasonable

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

The section on the Chicago Academic Standards is important

Strongly Agree
Agree
Undecided
Strongly Disagree
Not Applicable

Briefly describe the weakness of the toolbox.

Are you interested in attending a workshop on the toolbox?

Yes No

If yes, where? What time of day?

Please provide any additional comments or suggestions: