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Course Name: _________________________ Location: _____________ Date: ______________

Instructor (s) __________________________ Your name (optional) _______________________

Please take a moment to complete this feedback form. Your comments will be carefully reviewed and use to improve the quality of the course.

OVERALL

1. Rate your overall satisfaction with the course.

_____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

2. Rate the course in terms of meeting your educational needs.

_____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

3. Based on the knowledge/skill you require to do your job, how would you change this course?

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

COURSE CONTENT

1. Rate the course in terms of meeting the stated objectives.

_____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

2. Rate the course content (e.g., relevancy, structure, level of detail).

____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

3. Rate the participative activities (e.g., assignments, seminar topics).

_____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

4. Rate the course materials (e.g., lecture notes).

_____ Very Satisfied

_____ Satisfied

_____ Neutral

_____ Dissatisfied

_____Very Dissatisfied

5. What topics did you like best? Why? _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

6. What topics did you like least? Why? _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

7. Course content comments: _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

INSTRUCTION

1. Rate the instructor’s subject knowledge.

_____ Very Good

_____ Good

_____ Barely Acceptable

_____ Poor

_____Very Poor

2. Rate the instructor’s effectiveness (e.g., question handling, presentation, and ability to explain ideas).

_____ Very Good

_____ Good

_____ Barely Acceptable

_____ Poor

_____Very Poor

3. Instruction comments: _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Thank you for your comments.

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Source:  OpenStax, Molecular biology of the gene. OpenStax CNX. Jul 29, 2009 Download for free at http://cnx.org/content/col10799/1.1
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