Institute Survey
This institute survey is asking you to rate your satisfaction with PEBC Institute you participated in. The demographic information will only be seen by our external evaluation partner. PEBC staff will only see anonymous aggregate data.
Thank you so much for your time. Your feedback is incredibly valuable to us!
PEBC Information
Survey Code (PEBC staff will provide this)
Survey Information
Please review the following PEBC institutes and seminars. If the institute you attended is listed below, please select "yes." If not, please select "no."
-Effective Mentoring & Coaching Institute
-Cognitive Coaching
-Facilitation Institute
-Leadership Lunch Series
-Leadership Institute
Please select...
Yes, the institute I attended is listed above
No, the institute I attended is not listed above
Participant Information
First Name
Last Name
Email
(please use your school/work email)
Phone
School (please do not abbreviate)
District (please do not abbreviate)
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Current Role
Please select...
Classroom Teacher
Coach/Staff Developer
Administrator
Not listed
If not listed, please specify
Current Grade Level (select as many that apply)
ECE
Primary (K-2)
Upper Elementary (3-5)
Middle School (6-8)
High School (9-12)
N/A
Current Subject (select as many that apply)
Art
ECE
Elementary
English
English Language Development
Math
Music
Physical Education
Science
Social Studies
Special Education
World Languages
N/A
Number of years you have been teaching/working in education
Institute Feedback (classroom teachers)
For this next set of questions, please think about the PEBC Institute that you participated in.
I learned something at this PEBC Institute that will improve my effectiveness in the classroom.
Strongly Disagree
Disagree
Agree
Strongly Agree
After attending this PEBC Institute, I am more confident in my ability to make a difference in my students' learning.
Strongly Disagree
Disagree
Agree
Strongly Agree
My capacity to teach for understanding was enriched at this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
I achieved the learning targets of this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
I will adjust my instructional practices as a result of my learning at this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
The facilitators of this PEBC Institute were knowledgeable and well-prepared.
Strongly Disagree
Disagree
Agree
Strongly Agree
As a result of my participation in this PEBC Institute, I will adjust my instructional practices to create more opportunities for learners to think deeply.
Strongly Disagree
Disagree
Agree
Strongly Agree
I learned how to describe metacognition to my students at this PEBC institute
Strongly Disagree
Disagree
Agree
Strongly Agree
After attending this PEBC Institute, I am more confident in my ability to help learners reflect on how metacognition enhances their understanding
Strongly Disagree
Disagree
Agree
Strongly Agree
Institute Feedback
For this next set of questions, please think about the PEBC Institute that you participated in.
I learned something at this PEBC Institute that will improve my effectiveness as an educator
Strongly Disagree
Disagree
Agree
Strongly Agree
After attending this PEBC Institute, I am more confident in my ability to make a difference that will impact student learning.
Strongly Disagree
Disagree
Agree
Strongly Agree
My capacity to support the understanding of others was enriched at this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
I achieved the learning targets of this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
I will adjust my professional practice as a result of my learning at this PEBC Institute.
Strongly Disagree
Disagree
Agree
Strongly Agree
The facilitators of this PEBC Institute were knowledgeable and well-prepared.
Strongly Disagree
Disagree
Agree
Strongly Agree
Overall Feedback
How likely are you to recommend this PEBC Institute to others?
1 - Very Unlikely
2
3
4
5
6
7
8
9
10 - Very Likely
How would you describe your experience at this Institute to a colleague?
As a result of your learning here, what new approaches do you plan to implement? Which familiar practices will you refine?
What support might you need to implement or refine these practices?
General comments and feedback
Participant Demographic Information
This next set of questions is designed to help PEBC understand more about you and all of the educators we serve. These demographic questions help us learn more about the diversity of experiences, consider equity in our work, and ultimately improve our practices.
You are not required to provide a response to any questions, but we appreciate your participation and contribution to our learning. All results are anonymous and will be grouped together in any report.
What is your gender identity? (select all that apply)
Agender
Cisgender Man
Cisgender Woman
Genderfluid
Man
Non-Binary/Genderqueer/Gender Non-Conforming
Questioning
Trans Man/Transmasculine
Trans Woman/Transfeminine
Two-Spirit/Third Gender
Woman
Prefer to identify as...(please specify below)
Prefer not to answer
If not listed, please specify your gender identity
How would you describe your race/ethnicity? (Select all that apply)
American Indian or Alaska Native (e.g., Aztec, Inuit, Navajo Nation, Tingit, etc.)
Asian e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, etc.)
Black, African American or of African origin (e.g., African American, Ethiopian, Haitian, Jamaican, Nigerian, West Indian, etc.)
Latine, Hispanic, or of Spanish Origin (e.g., Cuban, Dominican, El Salvadoran, Mexican or Mexican American, Puerto Rican, etc.)
Middle Eastern or North African (e.g., Egyptian, Israeli, Lebanese, Syrian, etc.)
Native Hawaiian or Other Pacific Islander (e.g., Fijian, Native Hawaiian, Samoan, Tongan, etc.)
White (e.g., English, French, German, Italian, Polish, etc.)
Multiracial
I prefer not to answer
Prefer to self-describe (please specify below)
Please specify race, ethnicity or origin
Contact Information