995-1996 ABE Teacher Training Institute
Nature of the Adult Learner
Follow-up of Planned Changes



This is an example of the follow-up survey which you will be asked to return three months after the Workshop, Nature of the Adult Learner. Your intended changes will be typed in for you based upon your initial responses which you turned in at the conclusion of the workshop. You will receive the survey and a return envelope to mail your responses to NISAL. Thank-you.
Name

Position

Specific Change Identified




  1. To what extent have you implemented this intended change (please circle most appropriate level of implementation)
    1. 0 - 25%
    2. 26 -50%
    3. 51 -75%
    4. 76 - 100%
  2. Indicate your level of satisfaction with the changes in your practice: (please circle the one most appropriate response)
    1. Very Satisfied
    2. Somewhat Satisfied
    3. Somewhat Dissatisfied
    4. Very Dissatisfied
  3. Does this change continue to be an important one for you to make in your practice (please circle the one most appropriate response)
    1. Very Important
    2. Somewhat Important
    3. Not Very Important
    4. Not At All Important
  4. If this change in practice has not been completely implemented, please list any factors influencing your ability to implement the intended change.





  5. Please share any effects on practice, your students, or yourself that have resulted from implementation of this change.




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