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Name of School
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What date was the MouthScience Kit used?
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How many students did the MouthScience Kit reach?
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The MouthScience Kit was used for which grade level(s)? (Check all that apply)
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Other
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The lesson was taught by a
Teacher
School Nurse
Dental Student
Hygiene Student
Dentist
Hygienist
Other
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The process for requesting a MouthScience kit is easy.
Strongly Disagree
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Strongly Agree
I received the MouthScience Kit in a timely manner.
Strongly Disagree
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Strongly Agree
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The program guide is well organized and easy to follow.
Strongly Disagree
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Strongly Agree
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The demonstration video is a helpful resource.
Strongly Disagree
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Strongly Agree
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I am satisfied with the teaching materials (PowerPoint, lab sheet) used during the activity.
Strongly Disagree
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Strongly Agree
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The lesson helped students understand the relationship between sugar, acid, and cavities.
Strongly Disagree
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Strongly Agree
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The lesson stimulated the students' interest in oral health.
Strongly Disagree
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Strongly Agree
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The lesson is appropriate for the recommended grade levels.
Strongly Disagree
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Strongly Agree
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The lesson is easily adaptable to meet the needs of my students.
Strongly Disagree
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Strongly Agree
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I would recommend the MouthScience Kit to my colleagues.
Strongly Disagree
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Strongly Agree
We would love to hear any positive comments you have. Please type them in the space below.
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/500
Question Text
Lower Range
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Upper Range
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