STUDENT FEEDBACK FORM

COURSE # _____________________  	SECTION: _____ 	SEMESTER/ YEAR: ______________

COURSE NAME:_____________________________		INSTRUCTOR: ________________________

Use the following key when evaluating each statement below (your answers are highly confidential): 
N/A = Not applicable to you: that is, you never had this experience and/or can not evaluate this item
5= Strongly agree
4= Agree
3= Neither agree nor disagree
2= Disagree
1= Strongly disagree


PREDICTOR
P
A
B
C
D
F
The grade I think I will earn in this course is:







STUDENT CHARACTERISTICS
N/A
5
4
3
2
1
  1. I am taking this course:






      �to meet core curriculum requirements.






      �as part of my major.






      �as a free elective.






  2. I studied and put effort into this course.






  3. My current level of satisfaction in this course is high.






  4. To date, I have met all student learning outcomes. 







COURSE
N/A
5
4
3
2
1
  1. Course material was presented in a logical sequence.






  2. I am challenged by this course.






  3. The textbook helped me understand the material.






  4. Examples & illustrations helped me understand the material.  






  5. Course material was presented so I could take notes effectively.






  6. Exams were fair: they reflected course content.






  7. I would recommend this course to other students. 







INSTRUCTOR
N/A
5
4
3
2
1
  1. My instructor made effective use of class time.






  2. Feedback was given in a reasonable time.






  3. Class discussion & participation was encouraged.






  4. My instructor asked questions that helped me understand the material.






  5. Respect for diverse opinions or methods was demonstrated.






  6. My instructor motivated me to do high quality work.






  7. Important points were summarized in class.






  8. Assignments were graded according to the instructors� grading system.






  9. My instructor gave me extra help, when I asked for it.






10. My instructor was able to stimulate my interest in the subject.







LEARNING ENVIRONMENT
N/A
5
4
3
2
1
  1. I had the classroom equipment (supplies) needed to complete course / lab work.






  2. The classroom equipment was in adequate condition to work with properly.






  3. The physical conditions of the class room were acceptable.






  4.  My classmates contributed to a positive learning environment.







DEPARTMENT SPECIFIC CRITERIA
N/A
5
4
3
2
1
 1






 2.






 3.






 4.






 5.







There is a section on the back that we would like you to complete also.
ALL ANSWERS ON THIS SIDE WILL BE TYPED AND SUMMARIZED PRIOR TO RESULTS BEING GIVEN BACK TO INSTRUCTORS TO PROTECT STUDENTS� ANONYMITY.


Please explain what you found most valuable about this course:









Please explain what you found least valuable about this course:










What do you think should be done to improve this course? 










OTHER COMMENTS: 










DEPARTMENT SPECIFIC OPEN ENDED QUESTIONS: