Georgia Computes Teacher Workshop Feedback Form

The following four questions regard your unique ID number. The answers you give to these questions allow us to confidentially track participation.

1. First four letters of the city where you were born: Required Question

2. First three letters of your mother's first name: Required Question

3. Day of the month on which you were born: Required Question

4. Year in which you were born: Required Question

5. What is your gender?

	Female
	Male

6. What is your ethnicity?

7. How long have you been a high school teacher?

8. Have you ever taught computer programming before this?

	Yes
	No

9. What language(s) have you taught before?

10. Have you ever done any computer programming yourself before this workshop?

	Yes
	No

11. What language(s) have you programmed in?

12. What district do you currently teach in?

13. Are you a teacher or IT worker in the Operation Reboot program?

	No
	Yes

	Asian, not from Indian subcontinent
	Asian, from Indian subcontinent
	Black
	Hispanic
	Native American/Alaskan Native
	White
	Other

Georgia Computes Teacher Workshop Feedback Form - L