[takes about 6 mins]
1. I take your feedback seriously. It matters.
2. You have the power to help me get better at teaching. So, be honest and speak your mind freely.
Keeping those two points in mind, please fill in this feedback form for <COURSE NAME>, lead by <TEACHER'S NAME>. Feel free to provide any other comment towards the end. I've not made it mandatory, though.
Thank you so much for your time and for being awesome.
- <TEACHER'S NAME>