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5.4:
Course and Faculty Member Evaluation Form
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Course and Faculty Member Evaluation Form

We value open communication and conflict resolution, thus we urge you to include your name in this form to improve the chances of offering the best, most holistic educational experience possible.

In order to improve our classes, we would appreciate your feedback. You may also download a printable form (PDF) if you prefer. Thank you!

Course and Faculty Member Evaluation Form

Course Name*

Date/Term*

Instructor's Name

Your Name (optional)

Enter a number here*

The instructor:
Please rate the following items: 1 = Agree; 2 = Neutral; 3 = Disagree. Use the box below for any additional comments.

Creates a comfortable and safe learning environment

1

2

3

Knows me as an individual and considers my learning needs

1

2

3

Accommodates varying learning styles

1

2

3

Responds to requests for repetition, explanation, clarification in class

1

2

3

Encourages and leaves time for class discussion and participation

1

2

3

Tells informative, relevant stories

1

2

3

Displays knowledge of the subjects taught

1

2

3

Returns phone calls and answers email within two working days

1

2

3

(Skills courses) Responsibly and adequately supervises skills practice (with TA assistance, if applicable)

1

2

3

The activities, readings, homework assignments and exams:
Please rate the following items: 1 = Agree; 2 = Neutral; 3 = Disagree. Use the box below for any additional comments.

Are relevant and integrated into the structure of the course

1

2

3

Are graded and returned with helpful feedback within 2 weeks

1

2

3

Are neither too advanced nor too simple

1

2

3

The Course:
Please rate the following items: 1 = Agree; 2 = Neutral; 3 = Disagree. Use the box below for any additional comments.

Syllabus is clear, complete, well-organized

1

2

3

Class sessions are well-organized and stay on time and on topic

1

2

3

Time frame is fully utilized and appropriate to amount of content

1

2

3

Course page is accessible, relevant, well-used

1

2

3

Learning Objectives are appropriate to the level of the course

1

2

3

About how many hours did you study for each class session (include assignments and reading)?

0-2

2-4

4-6

6-8

8-10

10-12

12-14

Have you learned the essential course material according to the Learning Objectives in the syllabus:

100%?

80% complete and the remaining 20% at least partially complete?

Less than the Birthingway standard?

Not applicable because I already knew the material.

For Skills courses:
I practiced the skills taught in this course in enough different contexts, and have mastered them all.

Which readings and textbooks did you find the MOST useful? Why?

Which readings and textbooks did you find the LEAST useful? Why?

Which learning activities/homework assignments were the MOST helpful? Why?

Which learning activities/homework assignments were the LEAST helpful? Why?

Do you have concerns about the instructor or the class? (Please be specific)

What have you done (or do you plan to do) as a result of these concerns? (examples: did extra reading; discussed it with instructor; brought it up in class discussion, etc)

What acknowledgment would you like to give to the instructor?

Please click the "Submit" button below to send us your responses. Thank you so much for your time!

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Course and Faculty Member Evaluation Form

Course and Faculty Member Evaluation Form