Teacher-Student Interaction Feedback Evaluation Form
Please provide your feedback on the interaction with your teacher.
Student Full Name
First Name
Last Name
Teacher Full Name
First Name
Last Name
Course/Subject
Date of Interaction
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Rate the teacher's communication skills
1
2
3
4
5
Rate the teacher's approachability
1
2
3
4
5
Rate the clarity of explanations
1
2
3
4
5
Rate the responsiveness to student questions
1
2
3
4
5
Additional Comments
Submit
Should be Empty: