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Name: __________________________ E-mail: __________________________ City: ___________________________ State: ____________________________ Are you a Student or a teacher? ___________________ Name of School: _______________________________ For Students: What grade are you in? _____ Favorite Subject/s: ___________________ For Teachers: What grade do you teach? ______ Subject/s Taught: ____________________ For All: For which activity are you completing this form? _____________________________ What I liked.... What I had problems with.... Rate the difficulty of this activity: (circle one) Very Easy Easy Moderate Difficult Very Difficult Are the directions stated clearly? (circle one) Yes No Are the sites accessible? (circle one) Yes No Please add additional comments here: Thanks for taking the time to let us know what you think! Send completed questionnaire to: Event-Based Science Project Montgomery County Public Schools 850 Hungerford Drive Rockville, MD 20850 e-mail: email@example.com fax: 1-301-279-3153