General Feedback Form

Your answers will remain anonymous. I appreciate your constructive and thoughtful comments.

Class:	______________________________	Date:	__________________________

(5) Excellent	(4)

Above

Avg	(3)

Avg	(2)

Below

Avg	(1)

Far Below Avg
1. This course increased my understanding of the subject:	◦	◦	◦	◦	◦
2. The overall effectiveness of the course / instructor:	◦	◦	◦	◦	◦
3. Blank or see board for new item	◦	◦	◦	◦	◦
4. Blank or see board	◦	◦	◦	◦	◦
5. Blank of see board	◦	◦	◦	◦	◦

6. Please list one or two words describing what you like about the course.

______________________________________	______________________________________

7. Please list one or two words describing what you dislike about the course.

______________________________________	______________________________________

8. Please use the remainder of the space to provide additional feedback (optional). Thank you.