Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Bayambang I District
BAYAMBANG NATIONAL HIGH SCHOOL

TEACHERS FEEDBACK FORM

Name of Teacher:

Grade Level:
Date:

Your objective feedback would be greatly appreciated.

Please answer all the statements according to the following 1 to 5 scale:
1= Strongly Disagree (SD), 2= Disagree (D), 3= Neutral (N), 4= Agree(A), 5= (Strongly
Agree) Please circle the number between 1 and 5 to indicate which response best fits your
experience of the presentation.
Professionalism; SD D N A SA
Teacher shows respect for students, parents, peers, and
administration by being punctual and prepared for class, 1 2 3 4 5
work and meetings.
Teacher shows respect for students, peers, parents, and
administration through his/her words and actions. 1 2 3 4 5
Teacher maintains professional working relationships with
staff including school head and supervisor. 1 2 3 4 5

Teacher participates in school events when assigned. 1 2 3 4 5

Teacher actively and constructively participates in and
makes a contribution to school or any DepEd related Activities. 1 2 3 4 5

Teacher provides information to parents about the instructional,

behavioral, and attendance program and the 1 2 3 4 5
student’s progress on a regular basis.
Teacher responds to parent concerns in a professional
manner. 1 2 3 4 5

Name of
Learner/Observer:
Date:
Signature: