You are on page 1of 2

Survey

Demographic Info
Gender:
o Female
o Male
Age:
o
o
o
o

21-30 years old
31-40 years old
41-50 years old
51 or more years old

Years of Experience:
o
o
o
o

0-3
4-10
11-20
21 or more

Ethnicity:
o
o
o
o
o
o

White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other

Survey

Teachers who love teaching, teach children to love learning.

_______________________________________________________________ 3. by using the following scale: 1 2 3 4 5 No knowledge Slight knowledge Moderate knowledge Substantial knowledge Exceptional Knowledge  Student Portfolio 1 2 3 4 5  Individualized visual schedules 1 2 3 4 5  Routines developed and clear visual expectations 1 2 3 4 5  Master Schedule 1 2 3 4 5  Data collection 1 2 3 4 5  Curriculum – Unique Learning System 1 2 3 4 5  Lesson Plans 1 2 3 4 5  Please list 3 goals that you would like to work on in your SLL classroom._______________________________________________________________ Campus Name:__________________ SLL Teacher Initials:_______ Teachers who love teaching. teach children to love learning. Describe how you feel about…………. 1________________________________________________________________ 2. .