Sample: Course Evaluation Survey

XXX Course & Instructor Evaluation

Feedback Form

We are very interested in gaining your feedback regarding XXX course. Please complete this form and send it to us.

Please Note: This is a confidential survey and no student names are recorded or known. Thanks.

Note: Marked with * is required.

Section 1

1.1

Please indicate the level of agreement that most accurately reflects your opinion about this course.

	Strongly agree	Agree	Neither Agree nor disagree	Disagree	Strongly disagree
The exams reflect the course material:
The specific objectives for this course was achieved:
The classroom atmosphere was conductive:
I am glad that I took this course:

1.2

How do you feel about the difficult level of this course? *

Too difficult	Difficult	Just right
Easy	Too easy

1.3

What you like about this course?

1.4

What you don't like about this course?

Section 2

2.1

Please indicate the level of agreement that most accurately reflects your opinion of your instructor.

	Strongly agree	Agree	Agree nor disagree	Disagree	Strongly disagree
Very knowledgeable about the subject:
Well-prepared for this course:
Motivated me to learn the subject.:
Helped me a lot.:
Overall very good:

2.2

Overall, how satisfied were you with your experiences during the completion of this course?

Very Unsatisfied	Unsatisfied
Neither satisfied nor unsatisfied	Satisfied
Very satisfied

Section 3

3.1

What is your gender? *

Male

Female

3.2

Which year student are you?

First year	Second year
Third year	Fourth year
Graduate student

3.3

Anything else would you like to comment about this course or instructor

More samples

InfoPoll™: Software for Surveys & Polls - from questionnaire design to live reports

Web Survey, Email Survey, Fax Survey, Regular Mail Survey, Telephone Interview Survey, Paper Survey
Online Voting, Internet Polling, Feedback Forms, Guest book, Order Forms, Market Research, Survey Tips
Employee Satisfaction Survey, Bank Service Survey, Web Feedback Form, Course Evaluation, Seminar Evaluation Surveys, Request Information Form, Association Membership Survey, PC User Surveys