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Evaluation Form



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The Western Regional Center for Drug-Free Schools and Communities (1991, p. 27) has developed the following evaluation form for assessing the prevention curriculum:

Alcohol and Other Drug Use Prevention Curriculum Evaluation Form

Curriculum Name _________________________ Grade Level(s) _______________________________
Reviewer(s) _____________________________ Date ______________________________________
Philosophy: _____________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
  Yes No Comments
Comprehensive PK-12      
Clear, measurable goals & objectives      
Age-appropriate Scope and Sequence      
Clear "no use" message      
Cultural relevance to specific community      
Parent component      
Evaluation componenet      
Ease of implementation      
    Objective: Objective: Objective: Objective:
Instructional Strategies Techniques on resisting peer pressure        
Information on legal, social, and health consequences        
Lecture        
Discussion        
Role-play/simulation        
Small group/cooperative learning        
Peer teaching        
Questioning strategies        
Other        
Outcomes Knowledge        
Attitudes        
Behavior        

Instructional hours__________________________

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