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Realeyes Teacher Evaluation Form
Presenter Name:
School Name:
Teacher Name:
Date of Presentation:
Grade level:
Presenter Evaluation
1) Was the presenter well prepared for the lesson?
Excellent (5)
Good (4)
Neutral (3)
Fair (2)
Poor (1)
2) Was the presenter enthusiastic during the presentation?
Excellent (5)
Good (4)
Neutral (3)
Fair (2)
Poor (1)
3) Did the Presenter make the students feel comfortable?
Excellent (5)
Good (4)
Neutral (3)
Fair (2)
Poor (1)
Lesson Content Evaluation
1) The lesson was age appropriate?
Strongly Agree (5)
Agree(4)
Neutral (3)
Disagree(2)
Strongly Disagree(1)
If you answered 3, 2 or 1, please provide details:
2) The lesson material was logically organized?
Strongly Agree (5)
Agree(4)
Neutral (3)
Disagree(2)
Strongly Disagree(1)
3) Lesson Concepts were appropriately explained?
Strongly Agree (5)
Agree(4)
Neutral (3)
Disagree(2)
Strongly Disagree(1)
4) This lesson/program is valuable for students?
Strongly Agree (5)
Agree(4)
Neutral (3)
Disagree(2)
Strongly Disagree(1)
5) Overall impression of the lesson/program?
Strongly Agree (5)
Agree(4)
Neutral (3)
Disagree(2)
Strongly Disagree(1)
Remarks/Suggestions
Please indicate if you have noticed behavioral changes in your students or their families as a result of this program. (Examples: eye exams, glasses, safety precautions, etc.)
Schedule Realeyes for Next Year
Would you like to have Realeyes return to your classroom next year? Yes
No
If yes, which month/quarter is best for you?
Can we contact you via email (for scheduling only)?
Would you like to receive our quarterly newsletter,
Sight Words
? Yes
No
- denotes required fields
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