Delta Dental of Virginia - Kit Evaluation Form

Kit Evaluation Form

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Thursday, September 09, 2010

Teeth on the Go 2.0

Your Name: Job Title: School:
1) Were you able to get the Teeth on the Go 2.0 kit easily?
2) Did the kit arrive in a timely manner for your lesson?
3) Did the kit and materials arrive in good condition?
4) Were the materials in the kit effective for communicating oral health care to your students?
K - Grade 2
Grades 3 - 5
5) If you have used the Teeth on the Go 2.0 program in the past:
What do you like the most about this revised version?
What do you like the least about this revised version?
6) Was there a particular portion of the Teeth on the Go 2.0 program that the children responded to more positively (DVD, CD, teeth, toothbrush, books)? If so, please tell us about it.

7) How would you rate the kit overall?
K - Grade 2
Grades 3 - 5
Comments:
8) What recommendations do you have about the kit or its distribution?

9) How many students did the Teeth on the Go 2.0 program reach?
K 3rd
1st 4th
2nd 5th

10) Would you recommend this kit to your colleagues?
K - Grade 2
Grades 3 - 5
11) Any additional comments or feedback about the Teeth on the Go 2.0 program are welcome:

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If you have any questions, contact us at 800.572.3044, Ext. 3133