Feedback Form School Nurses – Teacher: Observer: Grade level: Subject: Date: DOMAIN 3: Health Education: Instruction Components Unsatisfactory Basic Proficient Distinguished 3a Communication frequent miscommunications communicates clearly and communication through a variety consistently engages students skills accurately with students, family of methods--newsletters, classes, in questions and participation and school community bulletin boards; engages students in questioning; effective written, verbal and non-verbal skills; listening skills 3b providing one size fits all' approach age-appropriate instruction based provides specific lesson plans as consistently participates in and formal and on standards; individual requested by faculty members and/or evaluates curriculum and health informal student addressed by education development health education health education curriculum; resource person for staff; instruction based on standards 3c demonstrates unresponsive to different awareness of different learning demonstrates adaptive skills consistently strives to improve flexibility and learning styles and is demonstrated in a variety of teaching tools/styles teaching techniques using Responsive-ness styles; inflexible interactions with students, family current educational trends school community 3d demonstrates little evidence of health resource for students, family and continually presents new information consistently uses creative ways health promotion school community through health services program to engage students, family and promotion seen in health services school community in health program promotion events 3e engaging same approach and appropriate materials and responsive to students, family and consistently evaluates students in information resources; continuously seeking school community needs; energetic appropriateness and effective- learning used repeatedly new activities and projects and enthusiastic subject ness of learning materials and activities
Feedback Form – School Nurses Teacher: Observer: Grade level: Subject: Date: DOMAIN 3: Health Education: Instruction Components Unsatisfactory Basic Proficient Distinguished 3a Communication skills frequent miscommunications communicates clearly and accurately with students, family and school community communication through a variety of methods--newsletters, classes, bulletin boards; engages students in questioning; effective written, verbal and non-verbal skills; listening skills consistently engages students in questions and participation 3b providing formal and informal health education one size fits all' approach age-appropriate instruction based on standards; individual student addressed provides specific lesson plans as requested by faculty members and/or by health education curriculum; resource person for staff; instruction based on standards consistently participates in and evaluates curriculum and health education development 3c demonstrates flexibility and Responsive-ness unresponsive to different learning styles; inflexible awareness of different learning styles and is demonstrated in interactions with students, family school community demonstrates adaptive skills a variety of teaching tools/styles consistently strives to improve teaching techniques using current educational trends 3d demonstrates health promotion little evidence of health promotion seen in health services program resource for students, family and school community continually presents new information through health services program consistently uses creative ways to engage students, family and school community in health promotion events 3e engaging students in learning same approach and information used repeatedly appropriate materials and resources; continuously seeking new activities and projects responsive to students, family and school community needs; energetic and enthusiastic subject consistently evaluates appropriateness and effective- ness of learning materials and activities