Student Feedback Form Page 2

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f. Depth of Understanding
____ excellent insight
____ good understanding
____ some insight
____ little insight
____ poor understanding
____ not applicable
g. Personal responsibility
____ always accepts fully
____ usually accepts fully
____ partially accepts
____ sometimes refuses
____ often refuses
h. Consideration of Others
____ always considerate of others’ rights and feelings
____ usually considerate
____ courteous, little evidence of consideration
____ sometimes inconsiderate
____ often inconsiderate
____inadequate opportunity to observe
3. From the standpoint of a college preparatory curriculum, I would rate this student’s
academic promise
____ as one of the outstanding students I have had
____ enthusiastically
____ strongly
____ without enthusiasm
character and personal promise
____ as one of the outstanding students I have had
____ enthusiastically
____ strongly
____ without enthusiasm
4. FURTHER COMMENTS – I WOULD APPRECIATE THOUGHTS OR ANECDOTES TO HELP
EMPHASIZE THE STUDENT’S GOOD QUALITIES.
__________________________SIGN HERE IF YOU DO NOT WISH THE STUDENT TO SEE
THIS FORM.

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