| 1. | How did you hear about Adopt a Scientist? |
| | Email from the American Physical Society Email from place of employment Email forwarded from friend/colleague World Year of Physics website Other, please explain |
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| 2. | How many inquiries did you receive? |
| 3. | Altogether, about how much time did you spend on Adopt a Scientist? |
| | 1 - 3 hours 3 - 5 hours 5 - 8 hours More than 8 hours |
| Is this more/less/same as the amount of time you expected to spend on Adopt a Scientist when you registered? |
| | More As expected Less |
| | Comments |
| 4. | What was the main benefit of participating in Adopt a Scientist? |
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| 5. | What was the biggest drawback of participating in Adopt a Scientist? |
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| 6. | Have you had (or do you expect to have) contact with any of the classrooms beyond the initial exchange? |
| | Yes No |
| | If yes, please explain. |
| 7. | On a scale of 1-5, (1 - not at all likely, 3 - neutral, 5- very likely) how likely are you to participate in Adopt a Scientist in the future? |
| | 1 2 3 4 5 |
| | Comments. |
| 8. | If students were allowed to ask scientists any questions they wanted, instead of choosing from a pre-set list, how would that change your level of participation? |
| | It would not change my level of participation. I would still register, but register for fewer interviews. I would not register. Other, please explain |
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| 9. | Do you have a favorite quote or anecdote that encapsulates your impressions of Adopt a Scientist? |
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| 10. | Please write additional comments here. |
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