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Online Learning Feedback Form_4.5.2020
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* Indicates required question
Student Name
*
Your answer
Student Grade
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Name of Parent/Guardian Completing Feedback From
*
Your answer
Are you using a device of your own, or did you borrow a school device?
*
My Own Device
School Device
Other:
Were you able to access Google Classroom this week?
*
Yes
No
On a scale of 1 to 5, with 1 being extremely negative, and 5 being extremely positive, RATE YOUR CHILD'S experience with online learning this week.
*
Extremely Negative
1
2
3
4
5
Extremely Positive
On a scale of 1 to 5, with 1 being extremely negative, and 5 being extremely positive, RATE YOUR (THE PARENT/GUARDIAN'S) experience with online learning this week.
*
Extremely Negative
1
2
3
4
5
Extremely Positive
Please explain your answers below.
*
Your answer
What is something that worked well this week?
Your answer
What was your greatest challenge this week?
Your answer
Please indicate any supports that you or your child need.
Your answer
What are your thoughts about live video (teacher teaching in real time using program like Zoom or Google Hangout)?
*
I'm against it
1
2
3
4
5
I think it's a great idea
If you have additional feedback, please provide it below.
Your answer
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