# Educator survey

EPA would like to evaluate your experience with teaching the SunWise School 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 an educator registered with the SunWise Program, **please enter** : Your Name: Your School: 

## Your Participation in SunWise **Please select:** Did your class take part in any SunWise activities this past year (2010 - 2011 school year) ?

Yes Please estimate how many students received SunWise teaching: What grade(s) did you teach How much class time was spent on SunWise: (total mi nutes per school year) No In the interest of improving SunWise, can you tell us why not? Skip to the Suggestions section How many years have you been teaching the SunWise Program? Do you plan on teaching SunWise next year? Yes No If not, why not? Did you order or download any SunWise resources besides the Tool Kit activities? Yes No If so, which ones?Were you aware of the SunWise with SHADE Poster Contest this past year?

Yes No If yes , d id your class participate in the SunWise with SHADE Poster Contest this past year? Yes No Were you aware of the “Don’t Fry Day” Pledge this past year? Yes No If yes , di d you take the “Don’t Fry Day” Pledge this past year? Yes No If yes, which activities did you participate in for your pledge? (check all that apply) a. Taught at least one SunWise activity during Spring/Summer . b. Include d the UV Index forecast or a sun safety tip in daily announcements . c. Other. Please describe: 

## I. Overall Satisfaction **:** 1. 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. Least Satisfied Most Satisfied

1 2 3 4 5
2. 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. Least Satisfied Most Satisfied

1 2 3 4 5

## II. Cross**- Curricular Classroom Lessons (SunWise Tool Kit)** 

3. Overall the instructional level of the Tool Kit was:
Too easy About right Too advanced 4. Please indicate how many activities you completed in each of the following subject area in the past year : Science 0 1 2 3 4 5 6+ Mathematics 0 1 2 3 4 5 6+ Physical Education 0 1 2 3 4 5 6+ English 0 1 2 3 4 5 6 + Social Studies 0 1 2 3 4 5 6+ Health 0 1 2 3 4 5 6+
5. What were the children's two favorite activities? 1: 2:
6. Did the SunWise Tool Kit help **students** 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. Not helpful Very helpful

1 2 3 4 57. 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. Not helpful Very helpful

1 2 3 4 5 8. How many other faculty members did you share your materials with?
1 2 3 4 5 6 + 9 . To the best of your knowledge, how many teachers in your school are currently using the SunWise curriculum?
1 2 3 4 5 6 + 10. Would you reco mmend the SunWise Tool Kit to other teachers? Yes No 

## III. UV Index/Frisbee Use 11. Did your class use the SunWise Web site to gather and/or input UV Index data? Yes No
12. Was the UV Frisbee an effective teaching tool? Yes No I did not use the UV Frisb ee Please describe: 

## IV. Infrastructure Enhancements 13. Did you organize any school - wide sun safety activities (out of the classroom)? Yes NoIf ye s, please describe:

14. Please indicate if any of your school’s policies changed as a result of your efforts with SunWise. (Check all that apply.) **Before SunWise?**  **After**

**SunWise?** a. Were notes about sunscreen sent home to parents? b. Was sunscreen available in the school? c. Were more shade structures added to the schoolyard? d. Were more trees added to the schoolyard? e. Was a school - wide sun safety policy formalized? f. Were annoucements about sun protection made (e.g., on sunny days or before field trips ) ? 15. What challenges have you experienced in trying to change sun safety policies at your school? (Check all that apply.) a. School does not allow the use of sunscreen. b. Students use sunscreen inap propriately ( e . g . , smear it on surfaces). c. Students cannot afford sunscreen. d. There is not enough time to apply sunscreen to all students. e . Students are not allowed to wear hats. f. Shade structures are too expensive. g . Other (please describe) : 

## V. Personal Beha**viors** 16. Please indicate how your personal sun behaviors have changed since teaching the SunWise Program: **Improved Stayed the same**  **Decreased** a. Applying sunscreen b. Using a higher SPF sunscreen c. Wearing a shirt and hat d. Staying in the shade e. Staying inside between 10 AM and 4 PMIf any of your sun protection behaviors have decreased, why? ( Please explain)

17. Since teaching the SunWise Program, have you ta lked to your family or friends about being sun safe more often? Yes No 

## VI. Suggestions 18. What information, materials, or resources would you suggest we add, delete or change?

19. Have you developed any enhancement activities/lessons for use with SunWise that you would be willing to share? Yes No If yes, please describe



## VII. Future Participation 20. Would you like to continue your participation in SunWise for the next school year? (You automatically stay enrolled in SunWise, and you do not need to re - register.) Yes No
21. How receptive would you be to new units on: **Not very receptive Somewhat receptive**  **Very receptive** a. Dangers of tanning beds?b. Helping children resist need for tanning?

c. Educating parents about sun protection?

Submityourinformation or Clearthe form 

## THANK YOU The public reporting and record - kee ping 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 https://cfpub.epa.gov/sunwise/index.cfm?do=data.edsurvey