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CLASS TALLY SHEET for Student Survey - Grades 3-6 Note: To be completed, scanned, and emailed to the Director of Student Teaching once all student surveys are completed. Use required file naming conventions. Rachel Crack Teacher’s Name: K (\\)\¢ AAs IK Grade: 3 ‘Total number of students who completed the survey: 4() Explanation: Once all students have completed the survey, use this form to tally the total number of students who marked Yes, Sometimes, or No. For example, if 15 out of 25 students marked yes for #1, write “15” under the yes column on the line for question #1, if3 students marked ‘sometimes for #1, write a 3 under the sometimes column on the line for question #1, and so on. Total number of student responses Question Number The work I do in this class helps me learn 2__| My teacher makes learning interesting. 3_| [know what Iam supposed to do in this class. My teacher helps ‘me see how the things I learn can be used 4 | in other places. 5 _| My teacher uses time wisely in this class. 0 | 6 | My teacher asks questions that make me think. 3} 17] ©] 4d 7__ | My teacher helps me when I don’t understand. ial 1 [40 8 | My teacher expects me to participate in this class. 34 l(c | “ Yo ls My teacher helps me know how I am doing in this class, Fie [ee | 10 | My teacher has a good attitude. 33/2|C 35 it | Me techer expects me do ary bet 33 19 6 [35 12._| My teacher cares about me, Btls Te 14, | Created by Davis School District, Utah (2015). Modified by C. Gould for use with student teachers CLASS TALLY SHEET for Student Survey — Grades 3-6 13. | My teacher is organized and has things ready for the a 2 2E lessons being taught each day, AA 13| 0 (35 14 | Students behave in this class. 6 | aq 1134 18 | Ifeel safe asking my teacher for help if Thave a problem. |] | 1c] © f4 16 | I would tell my friends that this is a good teacher. 33 Ss Total per Column {10 ¥ Created by Davis Schoo! District, Utah (2015). Modified by C. Gould for use with student teachers.

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