JT1.ORG MAIN SITE Log Out PROGRAM MATERIALS STUDENT HANDOUTS RESOURCES SURVEY JT1 Discussion Guide Program Survey "*" indicates required fields Are you taking this survey BEFORE or AFTER delivering the JT1 Program?* Before After COURSE SurveyInstructors: Using the data collected from the post-course student survey, please tally the responses from this class. Instructors: Please complete the pre-course survey for each class you teach for data collection. Tally student responses collected from the pre-course student surveys. Instructor name Grade Level*Which grade level was this Just Tell One Discussion Guide Program for Students used? Grade 9 Grade 10 Grade 11 Grade 12 Number of Students*How many students completed this Just Tell One Discussion Guide Program?Class identifier to correlate post survey (i.e. grade 9, period 3)* Are you willing to talk about your emotions? * (# for each response)Willing to talk about your emotions: YES YESWilling to talk about your emotions: NO NOWilling to talk about your emotions: N/A N/AIf you felt you had a problem, do you feel you have someone to whom you could talk? * (# for each response)Have someone to whom you could talk: YES YESHave someone to whom you could talk: NO NOHave someone to whom you could talk: N/A N/AAre you willing to help a friend if you noticed they had, or if they came to you, with an emotional or risk-taking behavior? * (# for each response)Willing to help a friend if you noticed they had, or if they came to you, with an emotional or risk-taking behavior: YES YESWilling to help a friend if you noticed they had, or if they came to you, with an emotional or risk-taking behavior: NO NOWilling to help a friend if you noticed they had, or if they came to you, with an emotional or risk-taking behavior: N/A N/AIf you or a friend needed help, would you know whom to turn to for help here at school? *Know whom to turn to for help here at school: YES YESKnow whom to turn to for help here at school: NO NOKnow whom to turn to for help here at school: N/A N/APOST-COURSE Instructor FeedbackIntervalsIn what intervals were the discussion guides presented? Once a day Once per week Once per month Other Overall ReactionWhat was the overall reaction of the students to the program? Mostly positive Mostly negative Even mix of positive and negative Other Level of EngagementWhat was the level of engagement and discussion by students? Significant engagement from most students Some engagement from most students Some engagement from a few students Little to no engagement Ease of UseHow would you rate the ease of use of the program materials? Very easy to use Somewhat easy to use Somewhat difficult to use at first Needed assistance in order to use QualityHow would you rate the quality of the content of the sessions? Excellent quality Appropriate quality Disappointing quality Unsuitable quality RecommendationWould you recommend the Just Tell One Discussion Guide Program for Students to another teacher or school? Yes No Additional FeedbackPlease provide any additional general feedback that you would like to share