Student Survey Gr 6-8 (Singer-Cook) 14-15
The purpose of this survey is to give your teacher ideas about how this class might be improved. The student will use their numbers so the teacher can check that each student completed the survey. Once every student has taken the survey, Mrs. Marou Jobson will take away student numbers and look at the data anonymously. Read each statement below carefully and completely. Indicate your agreement with each statement. If you strongly disagree circle 1; if you strongly agree circle 5. If you want to write specific comments, use the comment box at the end of the survey.
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What is your student number? *
What is today's date *
MM
/
DD
/
YYYY
What is your grade level? *
Who is your teacher? *
1.) My teacher creates a classroom enviornment that allows me to learn. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
2.) My teacher encourages me to evlauate my own learning. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
3.) My teacher allows me to demonstrate my leaning in a variety of ways. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
4.) My teacher gives clear instructions. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
5.) My teacher shows respect to all students. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
6.) My teacher is available to help outside of class. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
7.) My teacher grades my work in a timely manner. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
8.) My teacher relates lesson to other subjects or the real world. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
9.) My teacher respects different opinions. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
10.)  My teacher uses a variety of activities in class. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
11.)  My teacher encourages all students to learn. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
12.)  My teacher expects me to be successfull. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
13.)  My teacher is knowledgeable about the subject. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
14.)  My teacher provides helpful feedback. *
1=Strongly Disagree, 2=Disagree, 3= Neutral, 4=Agree, 5=Stongly Agree
Strongly Disagree
Strongly Agree
Is ther any other information or questions  you want to add? *
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This form was created inside of Hampton City Schools.