Homework Survey
Student Name
First Name
Last Name
Semester
Grade
Class Name
Homework Title
Given Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Due Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected grade out of 100
Were you able to complete your homework?
Yes
No
How hard was it for you to complete it?
Not At All
1
2
3
4
Extremely
5
1 is Not At All, 5 is Extremely
How much time did you spend completing your homework?
Less than 1 hour
1-2 hours
2-5 hours
More than 5 hours
What do you think about the amount of this homework?
Too little
Just OK
Too much
What part of the work was the most difficult one?
Did you get any help doing your homework?
Yes
No
What sources did you use completing your homework?
Briefly explain what you have learned from this homework.
Overall instructiveness of this homework
1
2
3
4
5
Please verify that you are human
*
Submit
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