Course Title
Instructor Name
Date of Evaluation
Term / Semester
Overall Course Satisfaction
Excellent
Good
Fair
Poor
Instructor’s Effectiveness
Excellent
Good
Fair
Poor
Clarity of Instruction
Excellent
Good
Fair
Poor
Course Materials and Resources
Excellent
Good
Fair
Poor
Usefulness of Assignments / Projects
Excellent
Good
Fair
Poor
Class Engagement / Participation
Excellent
Good
Fair
Poor
Pace of the Course
Too Fast
Just Right
Too Slow
Fairness of Grading
Excellent
Good
Fair
Poor
What Did You Like Most About the Course?
What Could Be Improved?
Suggestions for Future Offerings
Would You Recommend This Course to Others?
Yes
No
May We Share Your Feedback With the Instructor?
Would You Take Another Course With This Instructor?
Yes
No
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