The reporting deadline for NanoDays is May 1. Once you
complete the report (on time!), your name will be entered into a drawing for
educational materials to use with your visitors. Two drawings will be made, and
winners will be notified in late May.
Important Information About Filling Out the Report:
The report takes approximately 20 minutes to complete.
Please note that it is NOT possible to save your work in the SurveyGizmo online
form and return for additional edits. Reports left idle for too long will go
blank when you progress to the next screen. Please plan to complete the online
report in one session. You may want to write your responses in a Word doc,
save, and then cut and paste that information into this report; you may download in Word Document
format here or download PDF format here.
If you have any questions about this survey, please
contact KC Miller at kcmiller@smm.org.
If you held multiple NanoDays events this year, please
include information on all of them. You don't need to fill out a report if you
collaborated on another organization's event and they are filling out a report.
First Name*:
_________________________________________________
Last Name*:
_________________________________________________
Job Title:
_________________________________________________
Institution*:
_________________________________________________
Address 1:
_________________________________________________
Address 2:
_________________________________________________
City/Town*:
_________________________________________________
State*:
_________________________________________________
Country:
_________________________________________________
Email Address*:
_________________________________________________
( ) pull down list
( ) Yes
( ) No
( ) Yes
( ) No
( ) Yes
( ) No
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Please check all that apply.
[ ] at a museum or science center
[ ] at a university or college
[ ] other - please describe
Include the types of activities you offered, either
from the NanoDays kit or from another source, and how you worked with any
collaborators. (Maximum: 200 words.)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Please estimate the total number of people you
reached. If you held multiple types of events (lectures, hands-on activities,
exhibits) or held events over multiple days, please try to estimate the overall
attendance.
(Please enter numbers only.)
_________________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Please check all that apply.
[ ] N/A we did not have any volunteers at our event
[ ] high school students
[ ] undergraduate college students
[ ] graduate students
[ ] preK-12 education professionals (teacher,
administrator, etc.)
[ ] museum/informal learning education professionals
(educators, program developers, etc.)
[ ] science outreach professionals at a college or
university
[ ] scientists/engineers/professors at a college or
university
[ ] scientists/engineers from industry
[ ] family and/or friends of event organizer(s) and
staff
[ ] volunteers from our existing volunteer pool
[ ] other - please describe
Please estimate the total number of volunteers at your
event. If you held multiple types of events (lectures, hands-on activities,
exhibits) or held events over multiple days, please try to estimate the overall
number of volunteers.
(Please enter numbers only.)
_________________________________________________
(Maximum: 1,000 words.)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Yes |
No |
|
Short hands-on
activities and demos |
( ) |
( ) |
Longer educational
program(s) |
( ) |
( ) |
Guest speaker(s) or
lecture(s) |
( ) |
( ) |
Stage
presentation(s) |
( ) |
( ) |
Museum theater |
( ) |
( ) |
Videos and media |
( ) |
( ) |
Exhibit(s) |
( ) |
( ) |
Posters or displays |
( ) |
( ) |
Science cafe(s) |
( ) |
( ) |
Forums (scientist
and public dialogue and deliberation) |
( ) |
( ) |
Lab tour(s) |
( ) |
( ) |
Yes |
No |
|
Activities and
materials from past NanoDays
kits |
( ) |
( ) |
Activities from the
NISE Network online catalog |
( ) |
( ) |
Other activities
you or your collaborators created |
( ) |
( ) |
Activities from
other sources |
( ) |
( ) |
Yes |
No |
|
Spanish-language
educational materials (e.g. "Exploring" hands-on activities,
programs, or videos) |
( ) |
( ) |
Spanish-language
marketing materials (banners, ads, posters, or press release) |
( ) |
( ) |
Yes |
No |
|
NanoDays training videos |
( ) |
( ) |
Orientation
materials (such as NanoDays orientation slides
or Nano 101 slides ) |
( ) |
( ) |
One-page tip sheets
(such as Tips for visitor
conversations or Tips for engaging visitors) |
( ) |
( ) |
Engaging the Public in
Nano Key Concepts (content map) |
( ) |
( ) |
Guides (such as the
NanoDays Planning Guide , the Team-Based Inquiry Guide
, the Guide to Building
Partnerships Between Science Museums and University-Based Research Centers
, or the Nano and Society Guide
) |
( ) |
( ) |
(Maximum: 200 words.)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Part 2: Feedback
Your feedback helps us improve NanoDays and plan
future NISE Net efforts and resources. Information from past NanoDays reports
and evaluation has led to improvements to the kits and the types of additional
resources that the NISE Net provides.
For these last questions, your response will not in any way affect your kit
eligibility next year. You may skip these questions or end the survey at any
time by hitting the submit button at the bottom of the next page.
If you had any problems with the kit or issues you'd like us to address directly,
please email nanodays@nisenet.org.
Thank you for taking the time to answer these questions.
( ) Yes
( ) No
( ) Not sure
Not Applicable to my organization |
Daily |
Several times a week |
Once a week |
Once a month |
Several times a year |
Once a year |
Not Sure |
|
Cart
demonstrations/ brief table top activities |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
K-12 school
outreach activities (e.g. classes, after school programs, field trips,
science fair) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Special events
(e.g. family events, chemistry events, nano-related
events other than NanoDays, family nights,
festivals) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Camps (e.g. summer
camp, holiday camp, day camp) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Outreach activities
with ongoing community partners (e.g. libraries, scouts, Boys & Girls
club...) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Professional
development (for museum staff, school teachers, college students) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Longer museum
programs (e.g. forums, classes, labs, science club) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Longer term display
of materials in public spaces (e.g. within exhibits, on the museum floor, on
a table) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Lesson activities
within college courses |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Not Applicable to my organization |
Very difficult |
Difficult |
Easy |
Very Easy |
Not sure |
|
Counting public
participants during brief encounters (cart demos, table top activities) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Counting public
participants during special events (one-time outreach events, family events,
etc.) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Counting public
participants in longer programs or experiences (classes, summer camps,
professional development events, trainings, etc.) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
Counting public
encounters with materials on long-term display in open spaces (e.g. within
exhibits, on the museum floor, on a table) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) |
( ) I have attended or viewed at least one recording
of an online brown-bag conversation
( ) I have not attended or viewed any online brown-bag
conversations, but was aware of them
( ) I was not aware of any online brown-bag
conversations
(Maximum: 50 words.)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
(Maximum: 100 words)
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Your 2014 NanoDays report is now complete. You should
receive an automated email from KC Miller of the Science Museum of Minnesota (kcmiller@smm.org) with a PDF of your
completed report attached; you may need to check your email spam filter for the
automated email.
As a special thank you for filling out the report by
May 1st, your name will be entered into a drawing for educational materials to
use with your visitors. Two drawings will be made, and winners will be notified
in late May.
If you have any questions about this report, please
contact KC Miller at kcmiller@smm.org