This sample form, based on a fictitious HIV curriculum, would need to
be modified to match the particular curriculum being appraised.
Lesson
1: Basic Facts about HIV
|
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO |
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
Lesson
2: Avoiding HIV Infection
|
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO
|
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
Lesson
3: Choosing Abstinence
|
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO |
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
Lesson
4: Communication Skills
|
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO |
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
| Lesson
5: Refusal Skills |
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO |
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
Lesson
6: Attitudes toward People with AIDS
|
Did
you teach this lesson:
Approximate time spent: |
__ YES
__ Less
than 1/2 hour
__ 1/2 - 1
hour
__ More
than 1 hour |
__ NO |
How did your instruction differ from the lesson plan provided in the
teacher's manual?
|
Overall,
how difficult was it to use this curriculum?
How could the curriculum be made easier to use?
|
Back
to Booklet 3 Table of Contents
Back
to Handbook for Evaluating HIV Education - Introduction
|