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19
Teacher is willing to accept responsibility for his/her own
mistakes.
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20 Teacher is willing to learn from students. 1 2 3 4 5
21 Teacher is sensitive to the needs of students. 1 2 3 4 5
22 Teachers words and actions match. 1 2 3 4 5
23 Teacher is fun to be with. 1 2 3 4 5
24 Teacher likes and respects students. 1 2 3 4 5
25 Teacher helps you when you ask for help. 1 2 3 4 5
26 Teacher is consistent and fair in discipline. 1 2 3 4 5
27 I trust this teacher. 1 2 3 4 5
28 Teacher tries to model what teacher expects of students. 1 2 3 4 5
29 Teacher is fair and firm in discipline without being too strict. 1 2 3 4 5
What is one thing that your teacher does well?
________________________________________________________________________
What is one thing that you can suggest to help this teacher improve?
______________________________________________________
Thank you for taking the time to think through the items carefully and write down your thoughts honestly.
form as accurately
as possiblewithout
any type of bias.
STUDENTS
FEED BACK
FORM
Students Name
(Optional):__________________
__________________
_______________ Sta
ndard :_________________(
CBSE/GSEB);
Subject:__________________
__________ Studied
from:
__________________
_____
to_________________
______ (Month &
year) You came to
know about your
teacher
from______________
__________________
___ Please provide
your objective ratings
Very good;
6
Just met your
expectations;
5
Average;
4
Below expectations;
3
Poor;
2
Very poor;
1
P a r a m e t e r s
R a t i n g s ( P u t
a t i c k
m a r k ) 1
2
3 4 5 6
7 8 9
PunctualityAccessibilit
y/AvailabilitySincerity
Discipline/Behavior Ti
me devotionPower of
explanationSubject
knowledgeMethod of
teachingCompletion of
syllabusPractice &
revision Tests and
evaluationProfessional
ismNature and
character Your over all
experiencePlease
answer the following
questions
without any type of
bias
.1) Did your teacher
solve your
queries/difficulties on
time? _____________
__________________
__________________
______________
(Solved every time, Solved
but some time late, Solved
but always late, did not
solveSome time, never
solved)
__________________
__________________
__________________
(Always, many times, Some
times, Rarely, Never)
curiosity?__________
__________________
__________________
_________________
(Always, many times, Some
times, Rarely, Never)
__________________
_______________
(Surely, May be, I will
think, Never)
6) Will you
recommend your
teacher to your friends
or
relatives?___________
__________________
__________________
________________
(Surely, May be, I will
think, Never)
__________________
___ iii_____________
__________________
__________________
__________________
___ 11) Two things
you dislike the most in
himi______________
__________________
__________________
__________________
___ ii______________
__________________
__________________
__________________
__ iii______________
__________________
__________________
__________________
_ 12) He needs to
improve___________
__________________
__________________
_ _________________
__________________
__________________
__________________
Anything else or
suggestions etc. feel
free to
express ____________
__________________
__________________
__________________
_________________
_ ________________
__________________
__________________
__________________
_____________ _ __
__________________
__________________
__________________
__________________
_________ _ ______
__________________
__________________
__________________
__________________
_____ _ __________
__________________
__________________
__________________
__________________
_ _ ______________
__________________
__________________
__________________
_______________ _
__________________
__________________
__________________
__________________
___________ _ ____
__________________
__________________
__________________
__________________
_______ _ ________
__________________
__________________
__________________
__________________
___ _ ____________
__________________
__________________
__________________
_________________
_ ________________
__________________
__________________
__________________
_____________ _ D
a t e :
S t u d e n t
s
s i g n
( o p t i o n a
l ) : - Place: -
Parents sign
(optional):Student's Feed Back Form
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