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Activity & Feedback Form

INSTRUCTIONS: Core Partners — Please complete the following information for your activities around/feedbaack on the 2010 Guide Improving the Health of Adolescents and Young Adults: A Guide for States and Communities and/or other National Initiative materials. Once you've submitted the form, you will get a successful message and an option to fill out a new Activity & Feedback Form.

Recent Activities

Please list 2-3 recent activities in which you/your organization used National Initiative materials.

Activity 1
  Activity: 
  Description of Purpose: 
  Target Audience:  
Activity 2
  Activity: 
  Description of Purpose: 
  Target Audience:  
Activity 3
  Activity: 
  Description of Purpose: 
  Target Audience:  

PLEASE ANSWER THE FOLLOWING

1.)  Overall, did you find the materials to be useful? Why or why not?

 

2.)  We're specifically interested in the use of online resources. Please give the following online items a rating, 1 through 5 (5 = Outstanding, 1 = Unsatisfactory) on usability, adaptability, and accessibility. Only comment on resources you have used. If you didn't use a particular resource, please leave the ratings blank for that resource.

    Usability   Adaptability   Accessibility
 Summary  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
 Full Document  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
Indiv Chapters      
     Chapter 1  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 2  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 3  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 4  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 5  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 6  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 7  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Chapter 8  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     Closing  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
     References  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
       
 Worksheets  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
 Part Resources  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
 Other  5   4   3   2   1   5   4   3   2   1   5   4   3   2   1  
 

3.)  Overall, were you able to adapt the materials to suit your needs with relative ease?

4.)  Is there a creative activity or use of materials that you'd be willing to share with us or other Core Partners?

 

5.)  What other resources/materials would aid you in your National Initiative efforts?

 

6.)  Do you have any other comments?

 
  
 
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