STUDENT SURVEY: The purpose of this survey is to allow you to give

your teacher ideas about how this class might be improved.

___________________ __________ _______________________________

Teacher’s Name School Year Subject Area/Period

Directions: DO NOT PUT YOUR NAME ON THIS SURVEY, IT’S ANONYMOUS.

Listed below are several statements about this class. Indicate your agreement with each
statement. If you strongly agree, circle 1. If you strongly disagree circle 5. If you are unsure,
circle 3.

Not Sure

Disagree

Disagree
Strongly

Strongly
Agree
Agree
1. My teacher gives clear instructions. 1 2 3 4 5

2. My teacher treats everyone fairly. 1 2 3 4 5

3. My teacher is available to help me outside of class. 1 2 3 4 5

4. My teacher relates lessons to other subjects or the real world. 1 2 3 4 5

5. My teacher allows and respects different opinions. 1 2 3 4 5

6. My teacher uses different materials & activities to help us learn. 1 2 3 4 5

7. My teacher encourages all students to learn. 1 2 3 4 5

8. My teacher is personable and approachable. 1 2 3 4 5

9. My teacher knows and understands the subject being taught. 1 2 3 4 5

10. My teacher provides helpful feedback. 1 2 3 4 5

11. My teacher makes things easy for me to understand. 1 2 3 4 5

12. My teacher assigns homework that relates to our classwork. 1 2 3 4 5

13. My teacher keeps the class on-task so that we can learn. 1 2 3 4 5

14. My teacher explains the purpose of our lessons. 1 2 3 4 5

15. My teacher makes me feel welcome in class. 1 2 3 4 5

Secondary (Grades 6-12)
 (Flip to the back)

1. What is the activity/lesson you’ve enjoyed most or was most memorable?

2. What do you feel like you’ve improved on the most since the beginning of the year?

3. What is one thing you would like to see improved or changed in this class?

4. Would you like to do more combined activities with History? Why or why not?

5. Are there any other suggestions, comments, or ideas you would like to share?
(Ex: Anything that would help you learn better or make class more interesting.)