Student Input Form
1. Select the Instructor that you are evaluating
2. Please complete the Input Form by clicking the number that best fits area of evaluation
3. Please offer specific comments at the end of the evaluation
Grade *
Instructor *
Answer each question honestly *
Strongly Agree
Strongly Disagree
Don't Know
Teacher clearly communicated with the student.
the teacher provided adequate support for learning.
The teacher was approachable, open to communication and input.
The teacher was respectful of student's culture.
The teacher maintained a classroom in which the student feels physically and emotionally safe.
The teacher administered discipline fairly and consistently.
The teacher provided assignments appropriate to the lessons.
The teacher provided student with knowledge of class expectations.
Classroom work demonstrated the appropriate level of difficulty.
The teacher knew the content area and how to teach it.
The teacher treated students with respect, care and knowledge of student's needs.
The teacher appropriately monitored and assessed student learning.
The teacher provided appropriate student assistance.
Were you satisfied with your overall experience as provided by this teacher.
Please list 3 STRENGTHS of this teacher. *
Your answer
Please list 3 AREAS OF IMPROVEMENT for this teacher. *
Your answer
Any other additional comments
Your answer
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