2016 Take Action Template
ESSA Education Event Feedback Form PTA and the Every Student Succeeds Act (ESSA) Thank you for attending our education event about PTA and the Every Student Succeeds Act. Please take a moment to tell us what you think! Name of Host PTA:
Are you a PTA member?
City/State:
If not, will you become a PTA member as a result of this event? Yes No
1. My children are in the following grade ranges (check all that apply):
3. How would you rate the content of the presentation? □ Excellent
□ Grades K-3 □ Grades 4-6 □ Grades 7-8 □ Grades 9-12 2. How did you hear about this event (check all that apply)? □ Social media (Facebook, Twitter) □ Voicemail/Text message
□ Satisfactory □ Not Satisfactory □ Poor 4. How would you rate the speakers? □ Excellent □ Very good □ Satisfactory □ Not Satisfactory
□ School newsletter/Backpack flyer
□ Poor
□ Teacher □ Other Comments about the presentation:
No
□ Very good
□ Email □ Friend
Yes
ESSA Education Event Feedback Form PTA and the Every Student Succeeds Act (ESSA) 5. How would rate your knowledge and understanding of ESSA before the event? □ Very informed □ Somewhat informed □ Neutral □ A little informed □ Not informed at all
6. How would rate your knowledge and understanding of ESSA after the event? □ Very informed □ Somewhat informed □ Neutral □ A little informed □ Not informed at all
7. Prior to attending this presentation, had you advocated on ESSA or other education issues? □ Yes—If so, what were they? □ No
8. How likely are you to advocate (i.e., attend committee meetings, town halls, webinars, school meetings and/or conduct outreach to other parents, policymakers or school leaders) around ESSA or other education issues? □ Very Likely □ Likely □ Neutral □ Somewhat Likely □ Not at all Likely 9. What could PTA do to improve the quality of information (i.e., presentation, handouts) provided during this event? Are there any questions you still have about ESSA?
Are you a PTA member?
City/State:
If not, will you become a PTA member as a result of this event? Yes No
1. My children are in the following grade ranges (check all that apply):
3. How would you rate the content of the presentation? □ Excellent
□ Grades K-3 □ Grades 4-6 □ Grades 7-8 □ Grades 9-12 2. How did you hear about this event (check all that apply)? □ Social media (Facebook, Twitter) □ Voicemail/Text message
□ Satisfactory □ Not Satisfactory □ Poor 4. How would you rate the speakers? □ Excellent □ Very good □ Satisfactory □ Not Satisfactory
□ School newsletter/Backpack flyer
□ Poor
□ Teacher □ Other Comments about the presentation:
No
□ Very good
□ Email □ Friend
Yes
ESSA Education Event Feedback Form PTA and the Every Student Succeeds Act (ESSA) 5. How would rate your knowledge and understanding of ESSA before the event? □ Very informed □ Somewhat informed □ Neutral □ A little informed □ Not informed at all
6. How would rate your knowledge and understanding of ESSA after the event? □ Very informed □ Somewhat informed □ Neutral □ A little informed □ Not informed at all
7. Prior to attending this presentation, had you advocated on ESSA or other education issues? □ Yes—If so, what were they? □ No
8. How likely are you to advocate (i.e., attend committee meetings, town halls, webinars, school meetings and/or conduct outreach to other parents, policymakers or school leaders) around ESSA or other education issues? □ Very Likely □ Likely □ Neutral □ Somewhat Likely □ Not at all Likely 9. What could PTA do to improve the quality of information (i.e., presentation, handouts) provided during this event? Are there any questions you still have about ESSA?
