Dr. Vasantrao Pawar Medical College, Hospital & Research Centre, Nashik                                    PARENT FEEDBACK FORM
Dear Parents,
This feedback form needs to be filled by you so that it can be used for the evaluation and improvement of the courses, infrastructure, and facilities that are essential for the training of medical undergraduates.
We shall appreciate your cooperation in this regard and look forward to your valuable input as a concerned guardian.
On a scale of 1 – 5 (1 = strongly disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly agree) tick the ONLY ONE which according to you best describes your assessment of the given statement.

Feedback for Academic Year (AY)
*
Name of parent (father/mother/guardian)
Optional- You can skip this if do not want to fill
Name of your son/daughter *
1. The Institute has adequate infrastructure, facilities and staff to provide a conducive academic atmosphere *
2. The academic session throughout the year keeps my son/daughter effectively engaged in teaching and learning activities *
3. The institute provides an amicable environment for extra-curricular activities including sports for recreation purposes. *
4. The curriculum has a healthy mix of knowledge-based teaching, hands on training and self-learning to promote value-based education *
5. The Institute gives regular feedback on my son/daughter’s academic progress *
6. The Institute maintains a tight discipline among all students and their activities within the campus *
7. The Institute encourages use of technology in providing both in campus and online education through trained medical faculty *
8. The Institute provides adequate mess/canteen facility in preparing nutritious and healthy meals for the students residing in the campus. *
9. The Institute has helped develop my son/daughter’s personality and communication skills through integrated and interactive teaching and training methods *
10. The Institute maintains a high and impartial standard in academic assessment and evaluation of my child *
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