Instructor_Learning Feedback Survey

Learning Feedback Survey

Please take 2 minutes to complete a short survey about your experience with today's lesson. Your response will help us provide you and future participants with quality instruction. All responses will remain confidential unless you would like for us to connect with you individually. Thank you in advance for your time!
Class Date:

MonthDayYear
Class Location:
Are you providing feedback for a Life or Work Lesson?
Please rate your instructor using the following scale.

5= Excellent 4= Above Average 3= Average

2= Fair 1= Poor

The instructor...

Rows	5	4	3	2	1
Stimulated thinking & promoted interest in the subject
Made the participants feel free to ask questions and express ideas
Displayed knowledge of the subject taught
Overall, I would rate this Instructor:

Additional Comments (Share one take-away from today's lesson.):
Feel free to share what you thought was helpful information, your favorite part of the lesson, and/or how you felt the lesson was taught.
Your Name (optional)
Phone Number (optional)

Area CodePhone Number
Semester
Should be Empty: