NeuroEducation Confidence Diagnostic

Information collected as part of the NeuroEducation Confidence Diagnostic will only be used for research purposes. Results will only be shared in aggregate form. At no point will individual results or personally identifiable information be shared with anyone other than the respondent and research team at of the Center for Transformative Teaching and Learning (CTTL) without prior written permission.

1. I consent to the Center for Transformative Teaching and Learning (CTTL) using the information gathered through this survey for research purposes. I am aware that I can request my data be removed from the dataset by contacting the (CTTL@saes.org) and any reporting on collected data will only be shared in aggregate form. At no point will individual results or personally identifiable information be shared with anyone other than the respondent and research team at the CTTL without prior written permission. I am aware that if I do not complete the survey or do not provide consent I will not receive a report. *This question is required.

What is your first name? *This question is required.

Please tell us your email address. We use this to match up pre- and post- surveys. The data and information you provide will be used only for scientific and research purposes. *This question is required. This question requires a valid email address.

What is the name of your school/institution? *This question is required.

What is your subject area, specialty, or role? *This question is required.

Please tell us your subject area, speciality, or role.