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Student's Feedback Form

This student feedback form collects a student's name, module and lesson details, and asks them to indicate their mood with emojis. It provides space to write questions for the teacher and their answers. Finally, it asks the student to rate on a star scale how easy, helpful, and engaging the lesson was.

Uploaded by

Junjun Casano
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
571 views1 page

Student's Feedback Form

This student feedback form collects a student's name, module and lesson details, and asks them to indicate their mood with emojis. It provides space to write questions for the teacher and their answers. Finally, it asks the student to rate on a star scale how easy, helpful, and engaging the lesson was.

Uploaded by

Junjun Casano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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STUDENT’S FEEDBACK FORM

NAME:_________________________________
Module Number:_________________
GRADE & SECTION:_______________________
Lesson Number:__________________
Subject:________________________________
Week (Date):____________________

HOW ARE YOU FEELING?

Encircle the “emoji” that describe you’re feeling about the module.

Student’s Question: __________________ Student’s Question: __________________

___________________________________ ___________________________________

___________________________________ ___________________________________

Teacher’s Answer: ___________________ Teacher’s Answer: ___________________

__________________________________ __________________________________

___________________________________ __________________________________

Student’s Question: __________________ Student’s Question: __________________

___________________________________ ___________________________________

___________________________________ ___________________________________

Teacher’s Answer: ___________________ Teacher’s Answer: ___________________

__________________________________ __________________________________

__________________________________ __________________________________

Your Impression about the lesson (Encircle the number of stars according to the level of your
impression)

1. This lesson was easy to understand.


2. This lesson was helpful.
3. This lesson held my attention

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