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1. How satisfied are you with your current 5. What things about my teaching, our
learning in my class? procedures, our classroom, our assignments,
Circle one number: 0 = completely dissatisfied; etc. are satisfactory and what needs improve-
10 = completely satisfied ment? Please be as specific as you can!
1 2 3 4 5 6 7 8 9 10
TEACHING:
CLASSROOM:
LESS TIME:
4. Give a detailed reason for your answer to #3: 6. What can I do to help YOU reach your goals
for my class? Here is your opportunity to reflect
on your particular needs so that I can improve!
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