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K–12 teaching and learning · from the UNC School of Education

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This template represents a revised version of a template I received while in graduate school. The original version was distributed to my classmates and to me by a group of advisors at the Harvard Graduate School of Education.

Note to all students: You do not have to put your name on this form!

Please fill out this form as thoroughly and honestly as possible. I constantly think about and reflect upon my own successes and failures as a teacher, and now you have the opportunity to help me with my ongoing goal of becoming a better teacher. Your responses are extremely valuable to me, and they will certainly influence my teaching in the future. I thank you in advance for your time and cooperation.

This class
Strong Agreement Some Agreement Little Agreement No Agreement Don’t Know/Not Applicable
This class is interesting. 4 3 2 1 n/a
This class is challenging. 4 3 2 1 n/a
The work load is fair. 4 3 2 1 n/a
The assignments are clear. 4 3 2 1 n/a
The tests/quizzes are relevant to the topics covered in class. 4 3 2 1 n/a
The material is interesting/exciting. 4 3 2 1 n/a
The class forces me to think about complicated issues. 4 3 2 1 n/a
The teacher
Strong Agreement Some Agreement Little Agreement No Agreement Don’t Know/Not Applicable
The teacher presents the material clearly. 4 3 2 1 n/a
The teacher facilitates my understanding of the material. 4 3 2 1 n/a
Teacher is approachable outside of class. 4 3 2 1 n/a
The teacher is fair. 4 3 2 1 n/a
The teacher’s style is effective. 4 3 2 1 n/a
The teacher cares about the students and their concerns. 4 3 2 1 n/a
The teacher is aware of the students’ level of understanding. 4 3 2 1 n/a
The teacher welcomes and encourages interpretations other than her own. 4 3 2 1 n/a
The teacher is knowledgeable about the material being taught. 4 3 2 1 n/a
The student
Strong Agreement Some Agreement Little Agreement No Agreement Don’t Know/Not Applicable
I am satisfied with my effort in this class. 4 3 2 1 n/a
I am satisfied with my work in this class. 4 3 2 1 n/a
I feel that I am learning a lot in this class. 4 3 2 1 n/a
I am enjoying this class. 4 3 2 1 n/a

1. What do you like most about this class? Why? Be as specific as possible, and list as many aspects as you feel are appropriate.

2. What do you like least about this class? Why? Again, be as specific as possible, and list as many aspects as you feel are appropriate.

3. What do you feel are the best aspects/qualities of my teaching? Why? List as many as you feel are appropriate.

4. What do you feel I need to work on to become a better teacher? Please be as specific as possible.

5. What are you taking away from this course that you didn’t have/know/think about/realize in August?

6. In ten years, what are you most likely to remember from or about this class?

7. If you have any other thoughts/comments/ feedback on this course, please include them below or on a separate sheet.