1 - Generic Teacher Survey Form

Building A National TEAM: Theatre Education Assessment Models Created for the TCG-ASSITEJ/USA TEAM project by the Working Group. 10/17/06

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Generic Teacher Survey Form: Formative and Summative Template Theatre Name Program Name Date conducted Type of Assessment

Name Age/Grade Class Other

Program Specific Information _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________

Demographic Information ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________

Observable Behavior Section Scale Section—the answers to these questions reveal perceptions or thoughts about the thing to be assessed. Questions need to include the following: Directions on how to complete

Observable Behaviors

Scale with indicator description above

Indicate the percentage of students whose behavior fits into each category as observed by the teacher/teaching artist. Less than Less than More than 2/3 Almost All 1/3 2/3

Class participation Appropriate conduct Interaction with peers Confidence speaking before peers Vocabulary skills Writing skills Speaking skills Listening skills Reading comprehension Understands abstract concepts Short Answer Section—the answers to these questions should be designed to move beyond the perception to capture thoughts and provide opportunities to demonstrate or measure change. Example: 1. What are your expectations for this program? What do you hope students will learn?