This form is designed to help you reflect on your teaching practices. Answer honestly to identify strengths and areas for growth. All responses are confidential and used solely for professional development.
Your full name (optional)
Subjects you primarily teach
Total years of teaching experience (including current year)
Current teaching level
Early Childhood
Primary/Elementary
Lower Secondary
Upper Secondary
Post-Secondary/Tertiary
Adult/Continuing Education
Special Education
Other:
Which of the following best describe your current teaching context? (Select all that apply)
Public school
Private school
International school
Online/Virtual
Rural
Urban
Suburban
Multilingual learners
Mixed-ability classes
Large class sizes (>30)
Small class sizes (<15)
Exam-oriented curriculum
Project-based curriculum
Reflect on how you plan lessons, design learning experiences, and align activities with goals.
Rate the frequency of the following planning practices:
Never | Rarely | Sometimes | Often | Always | |
|---|---|---|---|---|---|
I start planning by analyzing curriculum standards or learning outcomes. | |||||
I design diagnostic activities to understand students' prior knowledge. | |||||
I set specific, measurable learning objectives for each lesson. | |||||
I sequence activities to build conceptual understanding gradually. | |||||
I differentiate materials for varying readiness levels. | |||||
I integrate technology to enhance—not replace—pedagogy. | |||||
I plan formative assessment checkpoints during the lesson. | |||||
I allocate time for student reflection and metacognition. |
Which planning approach do you primarily use?
Backward design (start with outcomes)
Topic-based planning (start with content)
Project-based planning (start with product)
Day-by-day planning (minimal long-term)
Hybrid / other
Do you co-plan or co-teach with colleagues?
Which data sources most influence your lesson planning? (Select up to 3)
Standardized test results
Classroom formative assessments
Student interest surveys
Individual education plans (IEPs)
Parent feedback
Peer observation notes
Self-reflection notes
Academic research
Social-emotional check-ins
Describe one recent lesson where planning significantly improved student engagement or understanding:
Rate how often you employ the following delivery strategies:
Never | Rarely | Sometimes | Often | Always | |
|---|---|---|---|---|---|
Use open-ended questions that promote critical thinking | |||||
Provide wait time after asking questions | |||||
Use think-pair-share or similar collaborative structures | |||||
Incorporate storytelling or real-world contexts | |||||
Model thinking aloud when solving problems | |||||
Use visual aids and manipulatives | |||||
Check for understanding using mini whiteboards or digital polls | |||||
Encourage students to ask their own questions |
Which best describes your typical lesson pacing?
Fast—cover content quickly
Moderate—balance coverage & depth
Slow—emphasize mastery before moving on
Varies by topic
I struggle with pacing
Do you use a variety of questioning taxonomies (e.g., Bloom’s, SOLO, Webb’s Depth of Knowledge)?
Which technologies or media do you regularly integrate into instruction? (Select all that apply)
Interactive slides (e.g., Pear Deck, Nearpod)
Learning management system (LMS)
Video conferencing for guest speakers
Student-created videos/podcasts
Gamified quizzes (e.g., Kahoot, Quizizz)
Simulations or virtual labs
Augmented/virtual reality
Coding platforms
None
How do you usually feel immediately after delivering a lesson?
Recall a recent instructional moment you would change. What happened and what would you do differently?
Rate the consistency of the following practices:
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | |
|---|---|---|---|---|---|
I establish clear routines from day one | |||||
I involve students in creating classroom norms | |||||
I use positive reinforcement more than reprimands | |||||
I redirect off-task behavior privately when possible | |||||
I vary seating arrangements to suit activities | |||||
I display student work that celebrates diversity of thought | |||||
I ensure physical space is accessible to all | |||||
I conduct regular community-building circles or check-ins |
How do you predominantly handle minor disruptions?
Non-verbal cues
Proximity & scanning
Private reminder
Public reminder
Behavior charts
Send to buddy room / office
Do you use restorative practices (e.g., restorative chats, circles)?
Which strategies help maintain an inclusive environment? (Select all that apply)
Multilingual labels & resources
Gender-neutral language
Flexible grouping
Culturally responsive materials
Trauma-informed approaches
Growth-mindset language
Restorative consequences
Family liaison communication
On average, how many minutes per class do you spend on procedural transitions (not instruction)?
Describe one environmental change (physical or cultural) that positively affected student behavior this year:
Evaluate how you measure learning and provide actionable feedback.
Indicate how frequently you use the following assessment practices:
Never | Rarely | Sometimes | Often | Always | |
|---|---|---|---|---|---|
Pre-assess before starting new units | |||||
Use rubrics that students help create | |||||
Provide descriptive comments (not just grades) | |||||
Allow retakes or revisions after feedback | |||||
Use peer assessment with clear criteria | |||||
Use self-assessment checklists | |||||
Collect exit tickets to inform next lesson | |||||
Maintain a digital portfolio of student growth |
What is your typical turnaround time for major assignments?
Within 24 hours
Within 3 days
Within 1 week
Within 2 weeks
More than 2 weeks
Do you use standards-based or criterion-referenced grading?
Which feedback modes do you regularly employ? (Select all that apply)
Written comments
Audio notes
Video feedback
One-on-one conferences
Small-group workshops
Digital badges
Checklists with exemplars
Peer feedback sessions
Share an example of feedback that led to a student’s measurable improvement:
Reflect on your professional habits:
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | |
|---|---|---|---|---|---|
I maintain confidentiality regarding student information | |||||
I seek constructive criticism from peers | |||||
I participate in formal professional development (PD) | |||||
I engage in informal PD (books, podcasts, social media) | |||||
I set annual professional growth goals | |||||
I document evidence for reflection | |||||
I support new or student teachers | |||||
I advocate for students’ well-being beyond academics |
How many hours of PD have you completed this academic year?
0–10
11–20
21–30
31–50
More than 50
Have you pursued any micro-credentials, badges, or certifications in the past two years?
Which areas are you currently targeting for growth? (Select up to 3)
Culturally responsive pedagogy
Trauma-informed practices
Universal Design for Learning (UDL)
Social-emotional learning integration
Environmental sustainability education
AI & digital citizenship
Restorative practices
Leadership & coaching
Research & data literacy
Content knowledge updates
Rank these professional development formats from most to least effective for you:
Workshops led by external experts | |
Peer-led professional learning communities | |
University courses | |
Self-paced online modules | |
Twitter / social-media chats | |
Conferences | |
Action research projects |
Describe one ethical dilemma you faced this year and how you resolved it:
Indicate how often you involve students and families:
Never | Rarely | Sometimes | Often | Always | |
|---|---|---|---|---|---|
I survey students about instructional preferences | |||||
I share learning objectives with families | |||||
I invite family members to showcase events | |||||
I co-create goals with students during conferences | |||||
I use family feedback to adjust homework policies | |||||
I offer flexible meeting times (evening/weekend) | |||||
I provide translations or interpreters when needed | |||||
I encourage student-led parent conferences |
How do you primarily communicate with families?
Email newsletters
Phone calls
Messaging apps (e.g., WhatsApp, WeChat)
School portal
Home visits
Other
Do students provide feedback on your teaching?
Which barriers hinder family engagement in your context? (Select all that apply)
Language differences
Work schedule conflicts
Transportation issues
Previous negative school experiences
Digital divide
Cultural perceptions of teacher authority
None
Share one strategy that successfully amplified student voice in your classroom:
Reflect on your well-being:
Strongly Disagree | Disagree | Neutral | Agree | Strongly Agree | |
|---|---|---|---|---|---|
I get adequate sleep most nights | |||||
I engage in physical exercise at least twice a week | |||||
I set boundaries for email response times | |||||
I take mental health days when needed | |||||
I participate in hobbies unrelated to teaching | |||||
I practice mindfulness or stress-reduction techniques | |||||
I have a supportive professional network | |||||
I feel comfortable seeking counseling or therapy |
How many hours per week do you typically work (including weekends)?
Less than 40
40–50
51–60
61–70
More than 70
Have you experienced symptoms of burnout in the past year?
On a scale of 1–10 (1 = Not at all supported, 10 = Extremely supported), how supported do you feel by school leadership?
Describe one change that could significantly improve your well-being:
Synthesize your reflections and set actionable goals.
Rank these domains in order of your current strength (1 = strongest):
Planning & Instructional Design | |
Instructional Delivery | |
Classroom Management & Environment | |
Assessment & Feedback | |
Professionalism & Growth | |
Student Voice & Family Engagement | |
Well-Being & Work-Life Integration |
Summarize your top three professional strengths:
Identify one high-impact goal for the next semester and outline the first step:
Would you like a copy of this evaluation emailed to you for your records?
I consent to anonymous data from this form being used for educational research to improve teaching practices worldwide.
Signature (optional)
Analysis for Teacher Self-Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
This teacher self-evaluation form is a research-grade instrument that balances diagnostic depth with user-friendly design. Its seven-section arc—from context-setting to well-being—mirrors the complexity of modern teaching while remaining navigable. The liberal use of matrix ratings, conditional logic, and multi-select options reduces cognitive load and produces granular, export-ready data for HR or accreditation teams. Confidentiality is front-loaded, which research shows increases candor, and the optional name/email default respects privacy while still allowing personal record-keeping. The form’s greatest strength is its dual purpose: it simultaneously generates actionable PD insights for the teacher and anonymized benchmark data for the school or researcher.
Minor opportunities for improvement include adding a progress bar (the form can take 25–30 min) and offering save-and-continue functionality to reduce abandonment among over-worked teachers. A few matrix scales switch polarity (frequency vs. agreement) which can be mentally jarring; standardizing on one scale type per section would improve reliability. Finally, the consent checkbox for research use appears only at the end; moving it to the introductory section would satisfy most IRB requirements for informed consent upfront.
Purpose: Captures disciplinary context so feedback can be compared within cohorts (e.g., STEM vs. humanities) and allows instructional coaches to tailor follow-up resources. It also flags possible cross-curricular collaboration opportunities.
Effective Design: An open text field rather than a locked pick-list respects the reality that many teachers teach multiple subjects or integrated courses. The placeholder examples subtly nudge respondents toward specificity without forcing rigid categories.
Data Implications: Because the field is text-based, downstream analysis will require text clustering or manual coding; however, this preserves nuance (e.g., “AP Chemistry & Robotics”) that a closed list would lose. Storing the raw string also supports future AI-driven topic modelling.
User Experience: Quick to complete; teachers simply type what they already know. Autocomplete could be added to reduce typos while still accepting novel entries.
Purpose: Supplies a key demographic variable strongly correlated with self-efficacy scores and PD needs. Novice teachers typically rate classroom management lower, while veterans may over-rate assessment practices; the form can auto-suggest targeted readings based on this value.
Effective Design: Numeric input with built-in validation prevents impossible entries (e.g., 99 years) and integrates cleanly into analytics dashboards for HR or licensure renewal tracking.
Data Implications: High reliability; the metric is objective and verifiable. When combined with matrix ratings, it enables growth-curve modelling across career stages.
User Experience: One-click entry on mobile numeric keypad; no scrolling through long drop-downs.
Purpose: Moves the reflection from generic self-ratings to concrete evidence, aligning with Charlotte Danielson-style evidence-based evaluation. It surfaces transferable practices that can be shared in PD workshops.
Effective Design: Mandatory open text with generous textarea encourages narrative depth; the prompt’s focus on “one recent lesson” scaffolds specificity and reduces writer’s block.
Data Implications: Rich qualitative data can be thematically coded for exemplar case studies; however, the lack of a word limit may produce lengthy responses that require NLP summarization.
User Experience: Because the question sits after a matrix grid, it feels like a natural storytelling outlet rather than an abrupt essay demand. A 1,000-character soft counter could reassure users without stifling detail.
Purpose: Forces positive self-affirmation, balancing the deficit-oriented tone common in evaluations. These data can populate professional growth portfolios or micro-credential applications.
Effective Design: Mandatory open text without strict formatting allows bullet lists or prose, accommodating diverse communication styles. Placing this prompt near the end leverages the recency effect—teachers have just reviewed all domains and can synthesize.
Data Implications: When aggregated, the most cited strengths become a high-resolution map of school culture’s perceived assets, useful for branding or grant writing.
User Experience: The number “three” is cognitively manageable and aligns with popular “three things” reflection protocols already used in many schools.
Purpose: Converts reflection into an actionable SMART goal, providing accountability and a baseline for follow-up surveys. Administrators can cluster similar goals to create collaborative inquiry groups.
Effective Design: Mandatory open text coupled with ranking questions earlier ensures the goal is data-informed rather than aspirational. The prompt’s emphasis on “first step” mitigates overwhelm and operationalizes the intention.
Data Implications: Longitudinal linkage (if the same teacher repeats the form) enables value-added analysis of professional growth.
User Experience: Because the form already validated multiple domains, teachers feel equipped to propose realistic next steps, increasing follow-through.
Mandatory Question Analysis for Teacher Self-Evaluation Form
Important Note: This analysis provides strategic insights to help you get the most from your form's submission data for powerful follow-up actions and better outcomes. Please remove this content before publishing the form to the public.
Question: Subjects you primarily teach
Justification: Knowing the subject context is essential for benchmarking responses against appropriate peer groups. Without this field, STEM teachers could be unfairly compared to arts teachers, invalidating growth analyses and undermining the form’s diagnostic value.
Question: Total years of teaching experience
Justification: Experience level is the strongest predictor of self-efficacy and PD needs; mandatory capture ensures analytics can disaggregate feedback by career stage and recommend age-appropriate supports, satisfying district evaluation policies that require differentiation between novice and veteran educators.
Question: Describe one recent lesson where planning significantly improved student engagement or understanding
Justification: Requiring an evidence-based narrative prevents over-reliance on inflated Likert ratings and aligns with standards-based teacher evaluation models that demand artifactual proof of effective practice, ensuring the form produces credible documentation for licensure or tenure portfolios.
Question: Summarize your top three professional strengths
Justification: Mandatory reflection on strengths balances the form’s many diagnostic prompts, reducing evaluation fatigue and supplying requisite positive data for professional portfolio systems that require demonstrated competencies, thereby supporting career advancement applications.
Question: Identify one high-impact goal for the next semester and outline the first step
Justification: Without a mandatory forward-looking goal, the form becomes a summative exercise rather than a growth instrument; the field operationalizes continuous-improvement clauses found in most teacher appraisal frameworks and creates measurable objectives for supervisors or mentors to revisit.
The form wisely keeps only five of forty-plus fields mandatory, a ratio proven to maximize completion while safeguarding data quality. Each mandatory item is mission-critical for downstream analytics or compliance, and none impose high cognitive burden. To further optimize, consider making the goal field conditionally mandatory only if the teacher selects low ratings in any domain; this would reduce perceived coercion for already high-performing respondents. Additionally, introduce real-time validation feedback (e.g., character count for open-text goals) to prevent submission errors that can frustrate busy educators. Finally, front-load an explanatory statement such as “Only 5 fields are required; the rest help you reflect” to prime a positive user mindset and sustain momentum through the lengthy form.