Partner survey (for pretesting)

Top of Form

 

EPA would like to evaluate your experience with teaching the SunWise
Program. Can you kindly take a few minutes to answer the following
questions? Your answers will go a long way toward helping us improve
SunWise. 

Information collection via this form is authorized by OMB Control No.
2060-0439. 

required item   optional item 

About You 

To establish that you are a partner registered with the SunWise Program,
please enter:

 

Your Participation in SunWise

Please select: Did you teach SunWise activities to any children this
past year (2010)? 

 

 

 No	In the interest of improving SunWise, can you tell us why not?

 

Skip to the   HYPERLINK
"https://cfpub.epa.gov/sunwise/index.cfm?do=data.edsurvey" \l
"Suggestions#Suggestions"  Suggestions  section 



How do you typically use the SunWise resources?

 

 

Do you plan on teaching SunWise next year?

 No



If not, why not?

 

Did you order or download any SunWise resources besides the Tool Kit
activities?

 No

If so, which ones?

 

Were you aware of the “Don’t Fry Day” Pledge this past year? 

 No



If yes, did you take the “Don’t Fry Day” Pledge this past year?

 No

And if yes, which activities did you participate in for your pledge?
(check all that apply)

 

 

c. Other. Please describe: 

 

I. Overall Satisfaction: 

 Please rank the children's overall satisfaction with the SunWise
program.

Use a scale of 1 to 5, with 1 being the least satisfied and 5 being the
most satisfied. 

 	Most Satisfied

 	1	2	3	4	5	 

 

Please rank your overall satisfaction with the SunWise program.

Use a scale of 1 to 5, with 1 being the least satisfied and 5 being the
most satisfied. 

 	Most Satisfied 

 	1	2	3	4	5	 

II. Cross-Curricular Lessons (SunWise Tool Kit)

Overall the instructional level of the Tool Kit was: 

 

Too easy 	About right	Too advanced

 Please indicate how many activities you completed in each of the
following subject area in the past year:

 

 

	0	1	2	3	4	5	6+

Physical 

 

	0	1	2	3	4	5	6+



What were the children's two favorite activities? 

 

 

Do you think that the SunWise Tool Kit help children learn how to
protect themselves from overexposure to the sun?

Use a scale of 1 to 5, with 1 being the least helpful and 5 being the
most helpful. 

 	Very helpful

 	1	2	3	4	5	 

 

Did the SunWise Tool Kit help you learn about the risk of overexposure
to the sun?

Use a scale of 1 to 5, with 1 being the least helpful and 5 being the
most helpful. 

 	Very helpful

 	1	2	3	4	5	 



How many other members of your organization did you share your materials
with? 

 

1	2	3	4	5	5+



To the best of your knowledge, how many members of your organization are
currently using the SunWise curriculum?

 

1	2	3	4	5	5+



Would you recommend the SunWise Tool Kit to other staff?

 No

III. UV Index/Frisbee Use

Did you use the SunWise Web site with children to gather and/or input UV
Index data? 

 No

 

Was the UV Frisbee an effective teaching tool? 

 I did not use the UV Frisbee

Please describe:

 

IV. Infrastructure Enhancements

Did you organize any organization-wide sun safety activities (out of the
classroom)? 

 No

If yes, please describe:

 

Please indicate if any of your organization’s policies changed as a
result of your efforts with SunWise. (Check all that apply.) 

 



What challenges have you experienced in trying to change sun safety
policies at your organization? 

(Check all that apply.)

 

g. Other (please describe):

 

	

Since teaching the SunWise Program, have you talked to your family or
friends about being sun safe more often? 

 No

V. Suggestions

What information, materials, or resources would you suggest we add,
delete or change?

 

Have you developed any enhancement activities/lessons for use with
SunWise that you would be willing to share?

 No

If yes, please describe

 

VI. Future Participation

Would you like to continue your participation in SunWise for the next
year? (You automatically stay enrolled in SunWise, and you do not need
to re-register.)

 No



How receptive would you be to new units on:

 

 

 

Bottom of Form

THANK YOU

The public reporting and record-keeping burden for this collection of
information is estimated to average 30 minutes per response. Burden
means the total time, effort, or financial resources expended by persons
to generate maintain, retain, disclose, or provide information to or for
a federal agency. An agency may not conduct or sponsor, and a person is
not required to respond to, a collection of information unless it
displays a currently valid OMB control number. (This collection is OMB
control number 2060-0439.) Send comments on the Agency's need for this
information, the accuracy of the provided burden estimates, and any
suggested methods for minimizing respondent burden, including through
the use of automated collection techniques to the Director, Collection
Strategies Division, OIC/OEI, U. S. Environmental Protection Agency
(2822), 1200 Pennsylvania Ave., NW, Washington, DC 20460; and to the
Office of Information and Regulatory Affairs, Office of Management and
Budget, 725 17th Street, NW, Washington, DC 20503, Attention: Desk
Officer for EPA. Include the OMB control number in any correspondence

OMB Control No. 2060-0439

Available online at   HYPERLINK
"https://cfpub.epa.gov/sunwise/index.cfm?do=data.edsurvey" 
https://cfpub.epa.gov/sunwise/index.cfm?do=data.edsurvey  

