HPR*TEC IMPACT USERS FEEDBACK FORM

*Name:
*E-mail:

I work at the following location(s):
School Name School District State
Is this a School Wide Title 1 School?
Yes
No
Don't Know
*1.
  2.

*Part 1: Resources Used

Please indicate which of the following HPR*TEC Resources you have used (check all that are appropriate):

TrackStar QuizStar NoteStar
RubiStar Casa Notes Profiler
Other:

Part 2: Resource Evaluation (Upon completion of this form, you will be taken to evaluation forms
for each of the resources you specified in Part 1.)

Part 3: Benefits from Use of Resources (This Part needs only be completed once.)
*maximum of 3000 characters per response.

A. Please describe any benefits you have seen from the use of one or more of the HPR*TEC Resources:

B. The use of this (or these) resource(s) has impacted my teaching in the following ways:

C. My students and I have benefited from using this (or these) resource(s) in the following ways:

D. After using this (or these) resource(s), did you observe changes in student learning outcomes?
If yes, what changes did you observe?

E. After using this (or these) resource(s), what concerns or suggestions do you have?

Thank you for being one of our "impact using teachers" and in helping us
to better evaluate the impact of these resources.