Distance Learning Feedback Form for Parents
Parent/Guardian Name
First Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
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September
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November
December
Month
Please select a day
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Day
Please select a year
2026
2025
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2022
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2020
2019
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2015
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1929
1928
1927
1926
1925
1924
1923
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1921
1920
Year
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Student's Name
First Name
Last Name
Student's Grade Level
Website application the school is using
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Usability
1
2
3
4
Navigation
5
6
7
8
Accessibility
9
10
11
12
Compatibility
13
14
15
16
Media Usage
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Live Video Conferencing
17
18
19
20
Stored Tutorial Videos
21
22
23
24
Online Learning Materials
25
26
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28
Interactivity and Engagement
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Submitting Assignments
29
30
31
32
Taking Exams
33
34
35
36
Activities
37
38
39
40
Communication
41
42
43
44
What are the things you like about our distance learning process/method?
What are the things you DON'T like about our distance learning process/method?
Suggestions on how we can improve our teaching process
From 1-10, how would you rate our distance learning process or method?
1
2
3
4
5
6
7
8
9
10
Would you recommend our school to others?
Yes
No
Submit
Should be Empty: