Distance Learning Feedback Form for Students
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student's Name
First Name
Last Name
Student's Email
example@example.com
Grade Level
Teacher's Name
First Name
Last Name
Subject Name
Course ID
Virtual/Online Methods
Uptime and stability of the system the school is using
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
System loading speed
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Clear instructions given on how to use the app or program
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Accessibility of the materials
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Web application usage
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Third party app usage
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Teacher/Instructor
Communication
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Knowledge
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Effort
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Materials
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Content
Consistency
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Topic coverage
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Presentation
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Multimedia usage
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Interactivity
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Exams
Relevance
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Quality questions
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Rationale was given
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Engaging
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Others
What is your initial expectation from this course/subject?
Did the course/subject met your expectations? Yes or No? If no, why?
Do you have any specific topics that you want to be covered next time?
How will you rate the distance learning methods used in this course/subject?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
From 1-10, what is your overall rating?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Are you going to recommend this to other students?
Yes
No
Maybe
Suggestions or comments
Submit
Should be Empty: