This form will be used to determine the response rates to the qualitative surveys from each respondent group, e.g. parents, teachers, administrators). Please complete this form and return by June 15th, 2005 to:
Dr. Valerie Ruhe,
5766 Shibles Hall, Room 314,
University of Maine
Orono, ME 04469-5766
Teacher Leader Name: ______________________________
Site: ____________________________________________
Parents
Number of Surveys Distributed: ________ Number of Surveys Returned: ________
For Question 1, please indicate the total number of responses on each choice:
1 (N= ) 2 (N= ) 3 (N= ) 4 (N= ) 5 (N= )
Administrators
Number of Surveys Distributed: ________ Number of Surveys Returned: ________
For Question 1, please indicate the total number of responses on each choice:
1 (N= ) 2 (N= ) 3 (N= ) 4 (N= ) 5 (N= )
Trained Reading Recovery Teachers
Number of Surveys Distributed: ________ Number of Surveys Returned: ________
For Question 1, please indicate the total number of responses on each choice:
1 (N= ) 2 (N= ) 3 (N= ) 4 (N= ) 5 (N= )
In-Training Reading Recovery Teachers
Number of Surveys Distributed: ________ Number of Surveys Returned: ________
For Question 1, please indicate the total number of responses on each choice:
1 (N= ) 2 (N= ) 3 (N= ) 4 (N= ) 5 (N= )
Classroom Teachers Survey
For Question 1, please indicate the total number of responses on each choice:
1 (N= ) 2 (N= ) 3 (N= ) 4 (N= ) 5 (N= )