NAME OF SCHOOL: __________________________________________
SCHOOL ADDRESS: _________________________________________ SCHOOL HEAD: _____________________________________________ DESIGNATION: ______________________________________________ CONTACT NUMBER: _________________________________________ EMAIL ADDRESS: ____________________________________________ DATE OF DONATION: _________________________________________
1. Number of students per grade level.
Grade Level Number of Students
Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 2. Number of teachers. ___________ 3. What were you using to duplicate the modules needed before the Risograph donation? ________________________________________________________________ ________________________________________________________________ 4. What were the problems and concerns encountered prior to the donation of Risograph machine? ________________________________________________________________ ________________________________________________________________ 5. How many modules are printed out per week? For how many students? ________________________________________________________________ ________________________________________________________________ 6. How many teachers are able to use the Risograph Mahcine ?_______________ 7. Please name the designated persons/teachers who attended/participated in the demonstration of the use of Riso Machine given by the supplier? ____________ 8. Are you satisfied with the performance of the Riso Machine? _______________ 9. Has there any been problems with its function? __________________________ if yes, was the service provider of the said supplier for the Riso Machine able to attend to your needs? ________________________________________________________________ ________________________________________________________________ 10. How has the Risograph machine helped your school, students and teachers? ________________________________________________________________ ________________________________________________________________