| Teacher |
School |
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| School District |
Texas SuperCyclist Certification Training Date (can be approximate) |
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1. In reference to the Texas SuperCyclist Curriculum:
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| If other, please list lessons implemented: |
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| 2. Barriers that I came across in implementation included (check all that apply, do so by holding down Ctrl key while selecting): |
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| If lack of resources was selected, please enter helpful resources: |
(e.g. more bicycles, parking lot space) |
| 3. It took me approximately this amount of time to prepare to teach each lesson: |
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| 4. The number of times I implemented the SuperCyclist curriculum during the current school year was: |
Please count each separate class that received the lessons.
For example, total times taught would be 'two' if taught separately to 2nd graders and 5th graders.) |
| 5. When I taught a lesson, it usually lasted: |
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| 6. Approximately, the number of students that received instruction from the SuperCyclist curriculum was: |
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| 7. During the rest of the school year, I plan to implement the SuperCyclist curriculum this many times: |
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| 8. I copied and distributed Curriculum homework and reference handouts to students: |
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| 9. When I taught a lesson, the students, on average, were physically active: |
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| 10. When the students were physically active, their breathing rate: |
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