MARITIME ACADEMY OF ASIA AND THE PACIFIC-KAMAYA POINT

NGEC5 DEPARTMENT OF ACADEMICS

Associated Marine Officers and Seamen’s Union of the Philippines – PTGWO-ITF
Kamaya Point, Alas-asin, Mariveles, Bataan
REFERENCE NUMBER DGE509/EGE509
AUTHORED BY: EDLYNNE FABIAN-PERONA 1ST SEMESTER AY 2020-2021 PAGE 14 OF 140

STUDENT’S FEEDBACK FORM

Critical Incident Questionnaire: The questionnaire is used to discover how students are
experiencing a learning experience. Its usefulness is underlined by the experience that student responses
often differ markedly from what was expected on the basis of their own feelings in the classroom
(Brookfield, pp95-96). The CIQ asks students in five questions to describe details of their response to
aspects of a learning experience, prompting them to think about what is helping or hindering their
learning so far.
Direction: The Classroom Critical Incident Questionnaire
Please take about five minutes to respond to the questions below about this week’s lesson. Don't put
your name on the form - your responses are anonymous. At the next class we will share the group's
responses with all of you. Thanks for taking the time to do this. What you write will help us make the
class more responsive to your concerns.
1.At what moment in class this lesson did you feel most engaged with what was happening?

2. At what moment in class this lesson were you most distanced from what was happening?

3.What action that anyone (teacher or classmate) took on this lesson did you find most affirming or
helpful?

4. What action that anyone took on this lesson did you find most puzzling or confusing?

5.What about the lesson that surprised you the most? (This could be about your own reactions to what
went on, something that someone did, or anything else that occurs).