Govt Polytechnic College Khargone
Student Feed Back Form
(Your Name is Optional)
Please Mark on Scale of 1 to 5
 Note:- 1.Poor         2 Fair         3 Average         4  Good        5 Excellent
              1  खराब       2 मध्यम     3  सामान्य          4  अछ्छा        5  बहुत अछ्छा
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Name Of Teacher *
Please select Teacher Name
Semister *
(For which you are feeling Form)
Name Of Subject *
(Please write Subject Name)
Please say us in above subject what is cover by your Teacher *
A1 Lectures (Theory) *
A1  Lecture Clarity    (Please Mark on Scale 1 to 5)
Poor
Excellent
 A2Lectures (Theory) *
A2  Orderly Sequence    (Please Mark on Scale 1 to 5)
Poor
Excellent
 A3 Lectures (Theory) *
A3 Adequancy Of Examples    (Please Mark on Scale 1 to 5)
Poor
Excellent
B1 TEXT BOOKS *
B1 Text Book Suitability    (Please Mark on Scale 1 to 5)
Poor
Excellent
B2 TEXT BOOKS *
B2 Name Of Referance Books  (Please Mark on Scale 1 to 5)
Poor
Excellent
C1 PRACTRICAL CLASSES *
C1 Relevant Practrical (Please Mark on Scale 1 to 5)
Poor
Excellent
C2 PRACTRICAL CLASSES *
C2 Effectiveness (Please Mark on Scale 1 to 5)
Poor
Excellent
C3 PRACTRICAL CLASSES *
C3 No Of Practrical Conducted (Please Mark on Scale 1 to 5)
Poor
Excellent
D1 PROJECTS/ASSIGNEMENT (IF ANY)
D1 Relevance (Please Mark on Scale 1 to 5)
Poor
Excellent
Clear selection
D2 PROJECTS/ASSIGNEMENT (IF ANY)
D2 Effectiveness (Please Mark on Scale 1 to 5)
Poor
Excellent
Clear selection
E1THE INSTRUCTION *
E1 Preparation (Please Mark on Scale 1 to 5)
Poor
Excellent
E2 THE INSTRUCTION *
E2 Enthusiasm (Please Mark on Scale 1 to 5)
Poor
Excellent
E3 THE INSTRUCTION *
E3 Concern For Students (Please Mark on Scale 1 to 5)
Poor
Excellent
E4 THE INSTRUCTION *
E4 Enforcing Discipline (Please Mark on Scale 1 to 5)
Poor
Excellent
E5 THE INSTRUCTION *
E5 Adherence To Schedule (Please Mark on Scale 1 to 5)
Poor
Excellent
F1 EVALUATION *
F1 Relevance to Coverage (Please Mark on Scale 1 to 5)
Poor
Excellent
F2 EVALUATION *
F2 Timeliness of Feedback (Please Mark on Scale 1 to 5)
Poor
Excellent
F3 EVALUATION *
F3 Fairness in Evaluation (Please Mark on Scale 1 to 5)
Poor
Excellent
G1 THE COURSE AS A WHOLE *
G1 Achieving Objectives (Please Mark on Scale 1 to 5)
Poor
Excellent
G2 THE COURSE AS A WHOLE *
G2 Interest Evoked (Please Mark on Scale 1 to 5)
Poor
Excellent
G3 THE COURSE AS A WHOLE *
G3 Overall Rating (Please Mark on Scale 1 to 5)
Poor
Excellent
H1 ABOUT THE RESPONDENT (ABOUT YOURSELF) *
H1 Your Commitment level (Please Mark on Scale 1 to 5)
Poor
Excellent
Specific Suggestions/Comments improvement if any
Any Other Comments  if any
Your Name
Enrollment No
if your no is 09046E03017 insert as  ' 09046E03017 (Please note comma before number)
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