Instructor Feedback Instrument and Rationale

END OF UNIT – STUDENT QUESTIONNAIRE

Oral & Maxillofacial Surgery Module for Certified Dental Assistants

Instructor: _________________________           Date: ______________

Unit: ______________________________

 Purpose: The purpose of this survey is to assess your instructor at the end of each unit

Directions: Please circle the appropriate number in response to the following questions

1 2 3 4 5
Disagree Strongly Disagree Neutral Agree Agree Strongly

Preparation:

1. The instructor clearly stated the unit’s objectives and outcome?
1   2   3   4   5

2. The instructor provided a clear unit schedule?
1   2   3   4   5

Instruction:

3. The instructor clearly delivered the theory portion of the unit
1   2   3   4   5

4. The instructor provided time for student questions during the theory portion
1   2   3   4   5

5. The instructor gave concise demonstrations in the clinical portion
1   2   3   4   5

6. The instructor provided time for student questions during the clinical portion
1   2   3   4   5

7. The instructor provided clear responses to all questions
1   2   3   4   5

8. The unit handouts were beneficial to your learning process
1   2   3   4   5

Examination:

9. The instructor provided clear instructions on exams
1   2   3   4   5

10. The instructor provided timely feedback
1   2   3   4   5

11. The instructor provided constructive feedback
1   2   3   4   5

12. The instruction in this unit met learning objectives and outcome
1   2   3   4   5


OPTIONAL
Please use the back of this questionnaire for comments and/or suggestions.

 

Rationale: