Academic module evaluation form 2009 - 2010 - Quia Example

Please take a few moments to give us your feedback on your your academic module. Your comments help us to improve our delivery.
Name (optional): 


  1. Please tell us how satisifed you were with:

            1 2 3 4 5      
      Your language module as a whole 1(very unsatisfied) 5 (very satisifed)  
      topics covered 1(very unsatisfied) 5 (very satisifed)  
      interest 1(very unsatisfied) 5 (very satisifed)  
      level of the module 1(very unsatisfied) 5 (very satisifed)  
      pace, variety and structure of lessons 1(very unsatisfied) 5 (very satisifed)  
      feedback 1(very unsatisfied) 5 (very satisifed)  
      clarity of explanations 1(very unsatisfied) 5 (very satisifed)  
      use of technology 1(very unsatisfied) 5 (very satisifed)  
      administrative arrangements 1(very unsatisfied) 5 (very satisifed)  
      rooming 1(very unsatisfied) 5 (very satisifed)  
      resources 1(very unsatisfied) 5 (very satisifed)  


  1. Please rate the following on a scale of 5 (high) to 1(low)

            1 2 3 4 5       no comment
      How far were your needs/expectations met? 1 (low) 5 (high)  
      Was the level appropriate for you? 1 (low) 5 (high)  
      Your input in terms of attendance? 1 (low) 5 (high)  
      Your contribution to class 1 (low) 5 (high)  
      Your time spent on independant study 1 (low) 5 (high)