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Name:
Date:
Lesson/unit topic:
Test Feedback Form
Part 1: How do you feel about your performance on this test? (circle one)
Fantastic!
Great
Pretty good
OK
Not so good
I feel sick!
Part 2: Do you think your performance on this test is a good indicator of how well you know/understand this topic? ____________
Why or why not?
Part 3: This test (or my performance on this test) was like …
(a) ________________________
(b) ________________________
(c) ________________________
(d) ________________________
Explain:
Part 4: How much time did you spend studying?
WEEKS
DAYS
HOURS
MINUTES
If you could go back in time and study for this test again,
would you do anything differently?
Part 5: How well did classroom lessons, activities, and
assignments prepare you for this test?
0
1
2
3
4
Not at all
5
Really well!
Explain and make suggestions for improvement.
Explain.
Part 6: Do you know anything about this topic that wasn’t on the test? Tell me about it on the back…
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