How are we doing? Fill out the form below to help us improve and update our Smart Smiles In School kits. For a printer-friendly version, click on the printer icon.
Full Name:
Job Title:
School Name:
1. Were you able to get the kit easily? Yes No
2. Did the kit arrive in time for your lesson? Yes No
3. Did the kit and materials arrive in good condition? Yes No
4. Would you recommend this kit to your colleagues? Yes No
5. Were the materials in the kit effective for communicating oral health care to your students?
6. How would you rate the kit overall?
7. How many students in each of the following grades did the Smart Smiles In School program reach?
8. Was there a particular portion of the Smart Smiles In School program that the children responded to more positively (DVD, CD, teeth, toothbrush, books)? If so, please tell us about it.
9. What recommendations do you have about the kit or its distribution?
10. Additional Comments
