STUDENT INPUT FORM FOR TEACHER

Neither this input document nor any notes, comments, or other information
used in its preparation is a matter of public record.

Completion of this form is voluntary.

COPIES OF THIS EVAL
EVAL
ALUUATION WILL BE MADE AVAIL ABLE TO TEACHERS UPON REQUEST .
AILABLE

Teacher: Date:

Course: Class Period:

Directions: As a part of the district’s annual evaluation of teachers, student input about a teacher’s performance is important.
Please place a check mark in the box which most closely matches your experience with this teacher. If you do not know about a
particular aspect or feel the item does not apply, please check the “Don’t Know/Doesn’t Apply” box.

Specific information and examples are helpful; hearsay information is not.

Don’t Know/
Doesn’t
The teacher . . . Yes Sometimes No Apply
1. Presents material in a variety of ways.
Comments:

2. Teaches in a way that I can understand.

Comments:

3. Treats all students with respect.

Comments:

4. Is approachable and willing to help me.

Comments:

5. Encourages and accepts different opinions.

Comments:

6. Demonstrates respect and understanding of my culture.

Comments:

7. Knows this subject well.

Comments:

8. Makes class interesting and meaningful to me.

Comments:

9. Is well prepared and organized.

Comments:

10. Clearly explains the objectives, requirements, and grading system of the course.
Comments:

11. Grades fairly.

Comments:

Revised: 11/17/2003 Page 1

 Don’t Know/
Specific information and examples are helpful; hearsay information is not.
Doesn’t
The teacher . . . Yes Sometimes No Apply
12. Explains assignments clearly.
Comments:

13. Uses a variety of methods to measure what students learn (tests, projects,
discussions, etc.).
Comments:

14. Helps me with the subject as needed.

Comments:

15. Returns corrected assignments and tests within a reasonable time period.
Comments:

16. Keeps me informed of my progress.

Comments:

17. Sets high standards and fair expectations for everyone.

Comments:

18. Recognizes and acknowledges effort.

Comments:

19. Ensures the classroom is safe.

Comments:

20. Manages class so I can work and learn with few disruptions.
Comments:

21. Enforces rules fairly and consistently.

Comments:

22. Encourages cooperation and participation.

Comments:

23. Encourages me to think for myself.

Comments:

24. Communicates with my family about course information, attendance, behavior,

and/or academic progress.
Comments:

I would like to talk to the principal to discuss this more.

Name (please print): Telephone:

Signature: Date:
COPIES OF THIS EVAL
EVALUATION WILL BE MADE AVAIL
ALU ABLE TO TEACHERS UPON REQUEST.
AILABLE
Return completed and signed form to the principal or assistant principal.
Revised: 11/17/2003 Page 2
Forms returned unsigned will be discarded and not considered.