Ambassador Feedback form (see page 3 for teacher form)

Office Use: DSE Ambassador visit Workshop Show Kit Loan

We are keen to gather feedback from STEM Ambassadors as well as teachers and pupils.
This will help ongoing improvement of the STEM Ambassadors programme. Please take a
moment to fill out the following brief questionnaire, and if possible, hand a Teacher
Feedback form to any teachers involved too.

You can send the completed questionnaire back to us by fax (01865 791854), email
(ambassadors@scienceoxford.com) or post to: STEM Ambassadors Scheme, Science Oxford
Next, 1-5 London Place, Oxford OX4 1BD

Mandatory Questions:

Name: __________________________________________________________

Employer: _______________________________________________________

a) Title of Activity
b) Date of event
c) Name of school(s) involved, including town name _________________________
________________________________________________________________________
d) Venue (if not held at the school) __________________________________
e) Approximate number of students ___________________________________
f) Age / Year group / Key stage of the students __________________________
g) Please give me a brief description of what you did ______________________
______________________________________________________________
______________________________________________________________

Was the activity:

 Organised by The Oxford Trust / Science Oxford

 Organised by another organisation (who?) ____________________
 Set up by you?

As far as you’re aware, was it part of any national initiative?

No Yes (which?) _________________________________

Optional Questions:

1. Were you satisfied with the way the activity was arranged?

Yes No

Please feel free to comment on any way/s in which this process might have been
improved
2. In what ways do you think the activity influenced the pupils? PTO
(Please tick all that apply)

 Directly supported their learning

 Improved their motivations/ aspirations
 Improved their careers awareness
 Helped them to link classroom work to real applications
 Challenged their perceptions of Science, Technology,
Engineering or Maths (STEM subjects)
 Directly linked to the National Curriculum
 Will lead to follow up work in the classroom
 Other (please specify)

3. How do you feel you have personally benefited from taking part in this activity?

If you heard any quotes or comments from teachers or pupils please send them on
with this form. And don’t forget to hand the teacher the attached Teacher
Feedback Form!

I am happy to be contacted to provide more detailed feedback:

Yes No

Contact details:

Email address: ____________________________________________

Telephone: _______________________________________________

Address and
postcode:_________________________________________________

Thank you for taking the time to complete this questionnaire, your feedback is very
important to us. Please send it back to us, with the teacher form if possible, by fax 01865
791854, email ambassadors@scienceoxford.com or post it to:

STEM Ambassadors scheme, Science Oxford, 1-5 London Place, Oxford OX4 1BD
 Teacher Feedback Form
Office Use: DSE Ambassador visit Workshop Show Kit Loan

Thank you for booking an activity through The Oxford Trust, the STEMPOINT contract holder
for MKOB. We are keen to gather feedback from teachers and pupils who have worked with
us or with our STEM Ambassadors. This will help ongoing improvement of our activities and
the STEM Ambassadors programme. Please take a moment to fill out the following brief
questionnaire.

Please hand the completed questionnaire to the presenter who gave it to you, or
fax it back to STEM Ambassadors at Science Oxford on 01865 791854

Name: ________________________________________________________________

School: _______________________________________________________________

Date of Activity:________________________________________________________

1. How did you hear about Science Oxford to book this activity?
(Please circle)

Booked Website (which?) Received Word of mouth (who?) Other (please state)
before ________________ brochure
___________________ __________________

2. Were you satisfied with the way the activity was arranged prior to the day (e.g. booking
procedure, communication)?

Yes No

Please feel free to comment on any way/s in which this process might have been improved

3. Were you satisfied overall with the visit / activity on the day?

Yes No

Please feel free to add any further comments about this:

4. Was a volunteer (STEM Ambassador) involved in this event?

Yes No Don’t know

Name of Ambassador/s ___________________________________________________

PTO
5. Do you feel the activity had a positive impact on your pupils?

Yes No

In what way did the activity influence your pupils? Were any of those directly as a result of
the involvement of the SEA? (Please tick all that apply)
Science STEM
Oxford Ambassador
staff
Directly supported their learning  
Improved their motivations/ aspirations  
Improved their careers awareness  
Helped them to link classroom work to real applications  
Challenged their perceptions of STEM  
Directly linked to the National Curriculum  

Will lead to follow up work in the classroom  

Other (please specify)  

Please feel free to add any further comments about how the visit has influenced your pupils:

6. Do you feel the visit has had a positive impact on your own personal development and
your capacity to enrich your pupils’ learning?

Yes No

Please feel free to add any further comments about this:

I am happy for this information to be shared with the STEM Ambassador:

Yes No

If you would be happy to be contacted to provide more detailed feedback please fill in your
contact details below:

Email address: ________________________________ Telephone:________________

Address and postcode:____________________________________________________

Thank you for taking the time to complete this questionnaire, your feedback is very
important to us. Please hand it to the presenter who gave it to you, fax it back to STEM
Ambassadors at Science Oxford on 01865 791854, or you can post it direct to:

STEM Ambassadors, Science Oxford, 1-5 London Place, Oxford OX4 1BD