Realityworks Star

Issue Date: September 18, 2007

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1. What type of school or organization do you use Baby in?

		Parochial or religious school
		Private school
		Organization that promotes public health, wellness and safety
		Public school
		Community services organization or youth agency
		Other (i.e. correctional institution, juvenile detention facility)

2. How many Babies does your school or organization have?

		More than 100 Babies
		76 to 100 Babies
		51 to 75 Babies
		31 to 50 Babies
		21 to 30 Babies
		10 to 20 Babies
		5 to 9 Babies
		1 to 4 Babies

3a. Do you use Baby only in the classroom, or do you send Baby home with your students?

		Only in the classroom (If you check this answer, please skip to question 6.)
		Send Baby home

3b. If you send Baby home with your students, how long do the simulations last?

		One night, and return Baby the second day
		Two nights, and return Baby the third day
		Three nights, and return Baby the fourth day
		Four or more nights, and return Baby at end of simulation

3c. How many times during the school year do students in your class take Baby home for a parenting simulation?

		Once a year
		Twice a year
		Three or more times a year

4. Before Baby is sent home with your students, how much classroom time is devoted to talking about Baby, child care, the parenting simulation and other topics related to the parenting simulation?

		One class period
		Two class periods
		Three or more class periods

5. After Baby is sent home with your students, how much classroom time is spent talking about Baby, and reflecting on the simulation experience?

		One class period
		Two class periods
		Three class periods
		Four to six class periods
		Seven or more class periods
		None (I do not allocate any class time for post-simulation discussion)

6. What is the average number of students in the classes you use Baby in?

		7 or fewer students
		8 to 12 students
		13 to 18 students
		19 to 24 students
		More than 25 students

7a. During a semester or school year, how many separate classes do you use Baby in? For this question, “class” means a group of students who receive instruction together; a “class” does not mean a classroom period.

		More than 6 classes per semester or year
		5 or 6 classes per semester or year
		3 or 4 classes per semester or year
		1 or 2 classes per semester or year

7b. Do the classes that you use Baby in last the full school year?

		My classes last a full school year.
		My classes are a semester only, or less.
		I teach some classes that last the full school year, and some that are shorter.

8. What subjects do you teach? Please check all that apply.

		Parenting Skills/Infant Care
		Health
		Family and Consumer Sciences
		Babysitter Training
		Other

9. What do you like most about Baby? Please describe in 2 or 3 sentences.

10. If you could add one or two features to Baby, what would you add? Please describe in 2 or 3 sentences.

11. If you could change one thing about Baby other than any features you added in Question 10, what would you change? Please describe in 2 or 3 sentences.

12. What grade level or levels do you use Baby in? Please check all that apply. If you teach in a non-school setting, please check the typical grade levels of your students.

		Grade 5 or lower
		Grade 6
		Grade 7
		Grade 8
		Grade 9
		Grade 10
		Grade 11
		Grade 12
		Not applicable (correctional facilities or other adult settings)

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