2. As water educators, we are always looking for ways to improve our programs. Please answer the following questions to help us better serve you.
4. Name (optional):
6. Date of Visit (optional):
8. Email Address (optional):
10. School/Group Name (optional):
12. Grade Taught:*
14. Is this the first time the water conservation office has lead a lesson for your class?
    -- Select One --YesNoNot sure
16. In which lesson(s) did your class participate? (Include title of activity or the general topic)*
18. Please rate the following statements pertaining to our most recent visit.
20. The activities helped to fulfill my educational requirements for my class.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
22. I was disappointed with the activities in which my class participated.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
24. I was satisfied with the topics covered during the activities.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
26. My students were bored during the activities.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
28. I feel my students were engaged in the activities.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
30. The activities were appropriate for the grade level of my students.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
32. The length of the activities were well-suited for my students.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
34. The activities complimented what my students are studying in class.*
    -- Select One --Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
36. How likely are you to do the following because of your participation in water conservation activities? As a result of this experience...
38. I will be more conscientious about water wasting at my school.*
    -- Select One --Not at all likelyMaybeLikelyVery Likely
40. I will encourage other educators and students to practice wise water use.*
    -- Select One --Not at all likelyMaybeLikelyVery Likely
42. I will request a visit again next year.*
    -- Select One --Not at all likelyMaybeLikelyVery LikelyDepends on scheduling
44. How did you hear about our programs?*

    1. Athens Green School Program
    2. Social Media
    3. Flyers/Brochures
    4. Previous Personal Knowledge
    5. ACC Website
    6. Word of Mouth
    7. Email
    8. Other
46. Would you recommend the lesson(s) to other educators?*

    1. Yes
    2. No
48. Please list one way you feel we could improve our activities.
50. Please share what you most enjoyed about of visit.
52. Thank you for taking time out of your day to help us improve our water education offerings to better meet your needs. Please email Jackie Sherry at jackie.sherry@accgov.com to schedule another classroom visit or tour.
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54. 1. Receive an email copy of this form.
55. Email address

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