Lesson Feedback Form

Lesson Topic(Required)

Lesson Date(Required)

MM slash DD slash YYYY

Grade(Required)

9th

10th

11th

12th

Name

First Last

Including your name is optional, but it can be helpful if I need to follow up with you regarding your feedback. Please feel free to provide your name if you're comfortable doing so.

Feedback

Please rate the following statements on a scale of 1 to 5, where 1 is strongly disagree and 5 is strongly agree:

The lesson objectives were clear.(Required)

1 (Strongly Disagree)

2 (Disagree)

3 (Neutral)

4 (Agree)

5 (Strongly Agree)

The concepts of the lesson were explained clearly.(Required)

1 (Strongly Disagree)

2 (Disagree)

3 (Neutral)

4 (Agree)

5 (Strongly Agree)

The materials/visual aids (ie: slides, handouts, etc.) were helpful.(Required)

1 (Strongly Disagree)

2 (Disagree)

3 (Neutral)

4 (Agree)

5 (Strongly Agree)

The pace of the lesson was appropriate.(Required)

1 (Strongly Disagree)

2 (Disagree)

3 (Neutral)

4 (Agree)

5 (Strongly Agree)

I felt actively involved in the lesson.(Required)

1 (Strongly Disagree)

2 (Disagree)

3 (Neutral)

4 (Agree)

5 (Strongly Agree)

Additional Comments

What did you find most valuable about this lesson?

What aspects of the lesson could be improved?

Are there any specific topics or concepts you'd like to see covered in future lessons?

Do you have any suggestions, feedback, or additional comments?

Dauphin County Technical School

6001 Locust Lane
Harrisburg, PA 17109