Influence Assessment in Education

Influence Assessment in Education
Please complete this assessment to help us understand which factors most influence educational experiences and outcomes.
Full Name
First NameLast Name
Your Role in Education
Age Group
Level of Education
Please indicate how much each of the following influences educational outcomes.
Rows No Influence Some Influence Strong Influence
Teachers/Instructors
Peers/Classmates
Family/Guardians
School Resources/Facilities
Curriculum/Material
Extracurricular Activities
Rate the overall influence of technology (e.g., computers, internet, educational software) on your educational experience.
Which teaching methods have the greatest positive influence on learning? (Select all that apply)
Other

Please rate your agreement with the following statements about your learning environment.

Rows	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I feel supported by my teachers.
My school provides adequate resources for learning.
I have positive relationships with my peers.
My family encourages my educational goals.

In your opinion, which factor has the greatest influence on educational success?
Other
Please provide any additional comments or examples about influences on education that you feel are important.
Should be Empty:

Select theme:

Rows	No Influence	Some Influence	Strong Influence
Teachers/Instructors
Peers/Classmates
Family/Guardians
School Resources/Facilities
Curriculum/Material
Extracurricular Activities