Planetary
Science Institute
School:_____________________________________ Grade:____________________
Teacher:____________________________________ Date of Visit:_______________
Regarding the Interest Level of the demonstrations and information
presented to the students:
Program
Segment: Lecture: Hands-On Lecture:
Please rate the Interest Level from “1 - 10”. Part One Activities Part
Two
(“10” being the Most Interesting) ________ ________ ________
Regarding the demonstrations and information presented to the
students:
Program
Segment: Lecture: Hands-On Lecture:
Please place a “checkmark”
lines below. Part One Activities Part Two
Level of Material Presented:
Too high ________ ________ ________
About right ________ ________ ________
Too low ________ ________ ________
Time:
Too short ________ ________ ________
About right ________ ________ ________
Too long ________ ________ ________
Material:
Related
to class work ________ ________ ________
Slightly
related to class work ________ ________ ________
Extra curricular extension to class work ________ ________ ________
Would you come back again? Yes_____ No______
Would you recommend it to
other classes? Yes_____ No______
How did you first find out
about our program?_______________________________________
Two MOST Favorite Hands-On
Activities?__________________________________________
Two LEAST Favorite Hands-On
Activities?_________________________________________
What did you like most about
the program?__________________________________________
What changes or additions
would you like to see?_____________________________________
Additional Comments (use
back if needed):__________________________________________