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Review Survey Template  
COURSE RATING FORM PERSONAL, COURSE & INSTRUCTOR
Please take a few minutes to respond to the following questions and statements concerning your participation in this class, the course itself, and your instructor. Your responses will be used to improve instruction.
PLEASE KEEP IN MIND THAT 1 = STRONGLY DISAGREE, 2 = DISAGREE, 3 = NEUTRAL, 4 = AGREE, 5 = STRONGLY AGREE.
1. This course was
A requirement
An elective
2. What grade do you expect in this course?
A
B
C
D
E
F
3. Please enter instructor's name and college's address
First Name:
Last Name:
Company:
Address:
City:
State:      Zipcode:
Country:
Phone Number:             Ext:
Fax Number:
Email
Description:
4. Personal:
12345
I am prepared for this class.
I seek help when I need it.
I have learned the materials of this course.
5. Course:
12345
The course is well organized
The course requirements are clearly stated.
Assignments are pertient to the course objectives.
Contrasting theories are presented
The stated objectives of the course are met.
My overall rating for this course:
6. Instructor:
12345
The instructor is prepared for class.
The instructor provides a classroon environment conductive to learning.
The instructor is enthusisatic about the course.
The instructor encourages student participation.
The instructor is available to give help.
The instructor uses appropriate methods to evaluate stdent performance.
The instructor treats students with courtesy and respect.
My overall rating of this instructor is
7. I consider this instructor's strength to be
8. I consider this instructor's weakness to be
9. I find the following most valuable to this course. Please list below:
10. I would like to see the following change in this course
11. Please write any other comments that you may have below:
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