Impact Survey

Dear Students,
Twice this year you will be asked to reflect and provide feedback on your teacher's performance in the classroom. This will help your teacher improve their own teaching.

Please take your time to consider your responses. Your name is not required and responses are anonymous. You should be as truthful as possible.

Answer for your teacher, not the subject.

Thank You.


A red asterisk (*) indicates required questions.

  1. My teacher believes that all of the students in my class will succeed.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher believes that I will succeed.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher creates big and challenging goals for our class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher has involved me in creating goals for our class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher notices or praises me for my effort.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher regularly lets me know what ways I’m improving in his/her class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. When I do the right thing, my teacher praises or notices me.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher treats me with respect.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel comfortable talking to my teacher.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher treats all the kids fairly.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I look forward to coming to my teacher’s class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher values teamwork.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher gives us opportunities to work together.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In this class, I feel safe to ask questions and participate.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel like I belong in my class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher communicates regularly to my family how I am doing at school.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to follow each lesson my teacher gives. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In my teacher’s class, it is clear what I am supposed to be learning in each lesson.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I learn a lot in this teacher’s class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher makes sure that I always know how I’m doing in this class.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher always checks my work and gives me feedback.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher returns work before I forget what I handed in.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher knows my strengths and weaknesses in this class. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher makes extra time to help me if I need it.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. The work I do in this class is just right, not too hard or too easy.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher accepts nothing less than my best work.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In this class, it’s clear what is expected of me for my work.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In this class, it’s clear what is expected of me for my behaviour.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Students are well behaved in this class.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher makes every minute of class count.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher gives me enough time in class to practice on my own what we are learning.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher explains things clearly.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. If I don’t understand something, I can count on my teacher to help me.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher wants me to explain my thinking, not just give the right answer.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher encourages me to ask questions.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher has several good ways to help me understand what we are doing.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In this class, my teacher makes sure that I am able to complete my work.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. In this class, my teacher sets clear expectations for individual and group work.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher shows curiosity and models a love for learning.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher is committed to getting better at teaching.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher finds ways to make our class and our learning improve.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher doesn’t let students give up.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher never gives up.
    *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My teacher sets a good example for others to follow.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. What would make this class better? Please suggest at least one thing.





Melanie Henry