Language School Feedback & Consent Form
Please provide your feedback about your language course and give consent for the use of your feedback.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Course Name
*
Instructor's Name
*
Course Start Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How did you attend the course?
*
In-person
Online
Hybrid
Please rate your satisfaction with the following aspects of the course:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Course content
1
2
3
4
5
Teaching quality
6
7
8
9
10
Materials provided
11
12
13
14
15
Class environment
16
17
18
19
20
Progress assessment
21
22
23
24
25
What did you like most about the course?
What could be improved?
Would you recommend this course to others?
*
Yes
No
Not sure
By signing below, I confirm that the feedback provided is my honest opinion and I consent to its use by the language school for internal review and promotional purposes.
*
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