Directions
Before filling out the survey, you must view the 5-minute “Meet Energy ED” multimedia CD-ROM presentation. If you do not have a copy, please click here to have one sent to you free of charge. For best results, the presentation should be copied to your PC's hard drive. Windows users -- copy the contents of the folder called "Windows." Macintosh users, copy the folder called "Macintosh." To view the presentation launch the file called "Meet Energy ED." To quit the program, hit Control-Q (Windows) or Command-Q (Mac).

After reviewing the presentation, begin filling out the survey. Please note: Use the TAB key to move between fields. Be careful not to hit the ENTER key before you have completed the questionnaire or your form may not be properly processed.

If you have any questions, please don’t hesitate to contact us.

Thank you for your participation!

First, please tell us a little about yourself:
Name:	first last Mr. Ms. Mrs. Dr.
School:
School Address:	street address city state zip
Home Address:	street address street address line 2 city state zip
School Phone:
Home Phone:
Email Address:	SchoolHome (check one)
Years Taught:	Current Grade(s) Taught:
Current Subject(s) Taught:

Next, indicate how strongly you agree or disagree with the following statements:
I believe the following about energy education…	strongly agree	agree	neither agree or disagree	disagree	strongly disagree
1. Energy education is important
2. It is an appropriate subject for the grade(s) I teach
3. Energy education will become increasingly important over the next 10 years
I believe the energy education materials I now use…	strongly agree	agree	neither agree or disagree	disagree	strongly disagree
4. Allow me to teach to the level mandated by the Department of Public Instruction
5. Cover energy subjects well
6. Utilize the latest technology
7. Engage the students in my classroom
8. Use current Wisconsin data
9. Please briefly describe the tools and materials you use to teach energy education in your classroom and, how they satisfy your needs…
10. The following tools or materials are available at my school to teach energy education:
VHS Video CD ROM for PC CD ROM for Mac Hard Copy Workbook Internet DVD
11. Please rank from highest to lowest, the following six formats regarding their ease of use in your classroom, with SIX being the EASIEST and ONE being the MOST DIFFICULT. Choose "N/A" for any formats that are unavailable to you.
--select-- 1 {most dfficult) 2 3 4 5 6 (easiest) N/A VHS Video --select-- 1 {most dfficult) 2 3 4 5 6 (easiest) N/A CD ROM for PC --select-- 1 {most dfficult) 2 3 4 5 6 (easiest) N/A CD ROM for Mac --select-- 1 {most dfficult) 2 3 4 5 6 (easiest) N/A Internet --select-- 1 {most dfficult) 2 3 4 5 6 (easiest) N/A DVD --select-- 1 {most dfficult) 2 3 4 5 6 (easiest) Hard Copy Workbook
12. I expect to be able to use materials in the following format in my classroom in 1-2 years:
VHS Video CD ROM for PC CD ROM for Mac Hard Copy Workbook Internet DVD
Regarding the tools and materials that you use, please indicate how strongly you agree or disagree with the following statements…	strongly agree	agree	neither agree or disagree	disagree	strongly disagree
13. I am satisfied
14. I’d like to use a more interactive media
15. I’d like my students to have more flexibility to work in teams or complete individual assignments
16. I’d like to enable my students to include their families in their work while at home
With the "Meet Energy ED" presentation that you veiwed earlier in mind, please indicate how strongly you agree or disagree with the following statements…	strongly agree	agree	neither agree or disagree	disagree	strongly disagree
17. I would use Energy ED as a stand-alone energy education curriculum
18. Using the Energy ED program would strengthen my current curriculum
19. Energy ED satisfies the DPI energy/ environmental curriculum mandates
20. Energy ED would capture my students’ interest
21. I would use this program
22. My students will like using Energy ED
23. I would value a form of Energy ED that students can take home or view via the internet
24. I’d like to participate in an energy education accreditation program using Energy ED
25. I would spend the following amount of time using Energy ED in my classroom:
One day 2-3 days One week More than one week
26. If available, I would prefer to use Energy ED on one of the following three formats. Please rank your top three choices with THREE being the MOST PREFERRED and ONE the LEAST PREFERRED
--select-- 1 {least preferred) 2 3 (most preferred) VHS Video --select-- 1 {least preferred) 2 3 (most preferred) CD ROM for PC --select-- 1 {least preferred) 2 3 (most preferred) CD ROM for Mac --select-- 1 {least preferred) 2 3 (most preferred) Internet --select-- 1 {least preferred) 2 3 (most preferred) DVD --select-- 1 {least preferred) 2 3 (most preferred) Hard Copy Workbook
27. What grade level do you believe the Energy ED program would be useful in? Check as many as you think are appropriate:
K – 12 4 5 - 6 7 – 9 10 - 12
28. Please rank the following eight features in order of importance, with EIGHT being the MOST IMPORTANT and ONE being the LEAST IMPORTANT Energy ED program supplement
--select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Future Energy Sources --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) A History of Energy --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Energy Fun Facts --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Future Energy Generation Placement Map --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Illustration of Household Consumption --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Ability to Set Consumption Ideals and Goals --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Curriculum and Discussion Guidebooks --select-- 1 {least important) 2 3 4 5 6 7 8 (most important) Student Workbook
29. What additions to Energy ED would you suggest? Why?
30. What would you delete from the program? Why?
2004-05 Pilot Program
31. Would you like to participate in the Energy ED 2004-05 classroom pilot program? YES NO
32. Comments: