[Name of Program/School/Organization]
Thank you for taking the time to evaluate [Name of Program/Teacher/Service]. Your feedback is valuable in helping us to continuously improve. Please indicate your level of agreement with the following statements by checking the box that best reflects your opinion.
Date
Rate About (Name of Program/Teacher/Service) on a scale of 1-6.
Rating:
1: Strongly Agree
2: Agree
3: Neutral
4: Disagree
5: Strongly Disagree
6: Not Applicable
Description | Rating | ||
|---|---|---|---|
A | B | ||
1 | The purpose and goals of the [Program/Service] were clearly communicated. | ||
2 | The [Program/Teacher] created a positive and supportive learning/service environment. | ||
3 | My child felt safe and respected within the [Program/Service]. | ||
4 | The [Program]'s activities were engaging and appropriate for my child's needs. | ||
5 | The [Teacher] demonstrated knowledge and expertise in the subject matter. | ||
6 | Communication from the [Program/Teacher/Service] was timely and informative. | ||
7 | My child has shown [e.g., improvement, growth, engagement] as a result of this [Program/Service]. | ||
8 | My concerns or questions were addressed effectively. | ||
9 | The [Program/Service] provided adequate resources and support. | ||
10 | Overall, I am satisfied with the quality of the [Program/Teacher/Service]. |
Please provide any specific comments or examples to support your ratings above.
What aspects of the [Program/Teacher/Service] did you find most effective?
What suggestions do you have for improving the [Program/Teacher/Service]?
Are there any other comments you would like to share?
First Name
Last Name
Age
Grade Level
First Name
Last Name
Thank you for your thoughtful evaluation!
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