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Learner Feedback Form
Instructor: __________________ Course: _________________ Class #: _________ Date: ______________
Learner Name: _____________________________ Learner ID Number: _________________
(optional)
(optional)
Please complete the following learner feedback form. You are free to leave some or all questions
unanswered.
(4)
(3)
(2)
(1)
Does
Not
Excellent
Strong
Adequate
Weak
Apply
1.
Course as a whole
2.
Course content
3.
Course organization
4.
Timely (within first week of class) distribution
of syllabus.
5.
Learners aware of class expectations,
requirements, and grading policy
6.
Learner aware of learner responsibilities
7.
Does the instructor return homework, tests,
papers, projects, etc. in a timely way
8.
Instructor returns phone calls promptly
9.
Instructor returns e-mails promptly
10.
Instructor available during posted office hours
11.
Availability of extra help when needed
12.
Answers to learner questions
13.
Encouragement given learners to express
themselves
Much
Does
Answer questions 14-18 relative to other
Higher
Average
Same
Lower
Not
college courses you have taken:
Apply
14.
The challenge presented was:
15.
The amount of effort to succeed in the course
was:
16.
Your involvement in this course (doing
assignments, participating, etc.) was:
17.
The amount of time spent on this course:
18.
How would your rate your learning in this
class?
Yes
No
19.
Would you recommend this course to other
students?
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