Name of student (optional): ___________________________________ __________________________________________________________ __________________________________________________________

Grade & Section: ___________________________________________ _________________________________________________________. __________________________________________________________

Name of teacher for evaluation: ________________________________ Name of student (optional): ___________________________________ __________________________________________________________
Subject taught: _____________________________________________ Grade & Section: ___________________________________________ _________________________________________________________.
Name of teacher for evaluation: ________________________________ Name of student (optional): ___________________________________
Put a check (√) mark opposite each item where you think its applicable. Subject taught: _____________________________________________ Grade & Section: ___________________________________________
Name of teacher for evaluation: ________________________________
Strongly Strongly Put a check (√) mark opposite each item where you think its applicable. Subject taught: _____________________________________________
Agree Disagree
Agree Disagree
1. My teacher makes Strongly Strongly Put a check (√) mark opposite each item where you think its applicable.
Agree Disagree
me feel that s/he really Agree Disagree
cares about me. 1. My teacher makes Strongly Strongly
Agree Disagree
2. My teacher really me feel that s/he really Agree Disagree
tries to understand how cares about me. 1. My teacher makes
we students feel about 2. My teacher really me feel that s/he really
things. tries to understand how cares about me.
3. Students treat the we students feel about 2. My teacher really
teacher with respect. things. tries to understand how
4. Our class stays busy 3. Students treat the we students feel about
and doesn’t waste time. teacher with respect. things.
5. Our teacher has 4. Our class stays busy 3. Students treat the
several good ways to and doesn’t waste time. teacher with respect.
explain each topic that 5. Our teacher has 4. Our class stays busy
we cover in the class. several good ways to and doesn’t waste time.
6. My teacher explain explain each topic that 5. Our teacher has
difficult things clearly. we cover in the class. several good ways to
7. In our class, we learn 6. My teacher explain explain each topic that
a lot almost every day. difficult things clearly. we cover in the class.
8. In our class, we learn 7. In our class, we learn 6. My teacher explain
to correct our mistakes. a lot almost every day. difficult things clearly.
9. Our teacher makes 8. In our class, we learn 7. In our class, we learn
lessons interesting. to correct our mistakes. a lot almost every day.
10. I like the ways we 9. Our teacher makes 8. In our class, we learn
learn in our class. lessons interesting. to correct our mistakes.
11. Students are 10. I like the ways we 9. Our teacher makes
allowed to speak up and learn in our class. lessons interesting.
share ideas about class 11. Students are 10. I like the ways we
work/projects. allowed to speak up and learn in our class.
12. My teacher respects share ideas about class 11. Students are
my ideas and work/projects. allowed to speak up and
suggestions. 12. My teacher respects share ideas about class
13. My teacher checks my ideas and work/projects.
to make sure we suggestions. 12. My teacher respects
understand what s/he is 13. My teacher checks my ideas and
teaching us. to make sure we suggestions.
14. The comments that understand what s/he is 13. My teacher checks
I get on my work in this teaching us. to make sure we
class help me 14. The comments that understand what s/he is
understand how to I get on my work in this teaching us.
improve. class help me 14. The comments that
understand how to I get on my work in this
Suggestion/s and/or recommendation/s: improve. class help me
__________________________ understand how to
__________________________________________________________ Suggestion/s and/or recommendation/s: improve.
__________________________________________________________ __________________________
Suggestion/s and/or recommendation/s: __________________________
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