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Learner Feedback Form

This document is a learner feedback form for a student to provide feedback on their teacher. It contains statements for the student to rate their agreement on the teacher's instructional skills and classroom management. It also contains questions for the student to self-report on their attendance, homework completion, and engagement in class. At the end is an optional comments section for additional feedback.

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Letrondo Peter
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261 views1 page

Learner Feedback Form

This document is a learner feedback form for a student to provide feedback on their teacher. It contains statements for the student to rate their agreement on the teacher's instructional skills and classroom management. It also contains questions for the student to self-report on their attendance, homework completion, and engagement in class. At the end is an optional comments section for additional feedback.

Uploaded by

Letrondo Peter
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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LEARNER FEEDBACK FORM Give your sincere feedback on each statement.

Name (Optional): _____________________________________________________________________________

Give your sincere feedback about _________________________________ as a teacher/adviser on each statement.


(Teacher's Name)
Strongly Strongly
The teacher/adviser... Agree Disagree
Agree Disagree
Give clear instructions ☐ ☐ ☐ ☐

Use simple example that I understand ☐ ☐ ☐ ☐

Administers discipline appropriately and consistently. ☐ ☐ ☐ ☐

Provides homework/practice that supports classroom


☐ ☐ ☐ ☐
learning.
Opens and approachable to learner's queries ☐ ☐ ☐ ☐

Treats her class with respect and care ☐ ☐ ☐ ☐

Acknowledges individual needs and provides


appropriate individual assistance to engage her class ☐ ☐ ☐ ☐
in learning

YES NO
Do you attend classes regularly? ☐ ☐

Do you submit your activities/performance tasks on time? ☐ ☐

Do you ask question if there is a need to clarify on the lesson? ☐ ☐

Any comments/suggestions for further improvement?

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________
Name of the Student
Signature over Printed Name

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