Participant Information

This section gathers information to categorize feedback by participant group (student, faculty, administrator).

• Name (optional): ______________________
• Role:
  • ☐ Student
  • ☐ Faculty
  • ☐ Administrator
• Course/Program Name: ______________________
• Date: ______________________
• Duration of Participation (for students):
  • ☐ Less than 1 month
  • ☐ 1-3 months
  • ☐ 3-6 months
  • ☐ 6+ months

---

2. Overall Program Experience

This section aims to gather general impressions of the program.

• How satisfied are you with the overall program/course?
  • ☐ Very Satisfied
  • ☐ Satisfied
  • ☐ Neutral
  • ☐ Dissatisfied
  • ☐ Very Dissatisfied
• Was the program content relevant and engaging?
  • ☐ Very Relevant and Engaging
  • ☐ Relevant and Engaging
  • ☐ Neutral
  • ☐ Not Relevant or Engaging
  • ☐ Not Applicable
• How would you rate the level of difficulty of the course/program?
  • ☐ Too Easy
  • ☐ Just Right
  • ☐ Too Difficult
• Were the learning objectives clear and aligned with the content?
  • ☐ Strongly Agree
  • ☐ Agree
  • ☐ Neutral
  • ☐ Disagree
  • ☐ Strongly Disagree

---

3. Teaching and Instruction

This section focuses on the effectiveness of the teaching methods and instructional materials.

• How effective were the teaching methods in helping you understand the material?
  • ☐ Very Effective
  • ☐ Effective
  • ☐ Neutral
  • ☐ Ineffective
  • ☐ Very Ineffective
• How would you rate the quality of the course materials (e.g., textbooks, online resources, handouts)?
  • ☐ Excellent
  • ☐ Good
  • ☐ Neutral
  • ☐ Poor
  • ☐ Very Poor
• Were the assessments (quizzes, exams, assignments) effective in measuring your learning?
  • ☐ Very Effective
  • ☐ Effective
  • ☐ Neutral
  • ☐ Ineffective
  • ☐ Very Ineffective
• How would you rate the interaction and engagement with instructors (e.g., availability, feedback)?
  • ☐ Excellent
  • ☐ Good
  • ☐ Neutral
  • ☐ Poor
  • ☐ Very Poor

---

4. Program Delivery and Support

This section focuses on the overall program delivery, including technology and student support.

• How would you rate the accessibility and usability of the learning platform (e.g., LMS, online tools)?
  • ☐ Very Easy to Use
  • ☐ Easy to Use
  • ☐ Neutral
  • ☐ Difficult to Use
  • ☐ Very Difficult to Use
• Did you receive adequate support throughout the program (e.g., academic, technical)?
  • ☐ Yes
  • ☐ Somewhat
  • ☐ No
• Were there any challenges you faced during the program (e.g., technology, communication, resources)?
  • ☐ Yes (please specify): ___________________________
  • ☐ No
• How would you rate the level of interaction with your peers in the program (e.g., group discussions, collaborative activities)?
  • ☐ Excellent
  • ☐ Good
  • ☐ Neutral
  • ☐ Poor
  • ☐ Very Poor

---

5. Program Outcomes

This section seeks feedback on whether the program achieved its intended outcomes.

• Do you feel you have acquired the knowledge/skills intended by the program/course?
  • ☐ Strongly Agree
  • ☐ Agree
  • ☐ Neutral
  • ☐ Disagree
  • ☐ Strongly Disagree
• Have the program/course outcomes met your personal and/or professional goals?
  • ☐ Yes
  • ☐ Somewhat
  • ☐ No
• How confident are you in applying the knowledge/skills gained from this program/course in real-world scenarios?
  • ☐ Very Confident
  • ☐ Confident
  • ☐ Neutral
  • ☐ Not Confident
  • ☐ Not Applicable

---

6. Suggestions for Improvement

This section allows for open-ended feedback and recommendations for program improvement.

• What aspects of the program/course do you feel should be improved?
• Do you have any suggestions for enhancing teaching methods or course content?
• What additional resources or support would have helped you during the program?
• Any other comments or feedback?

---

7. Rating Scale (Optional Section)

This section provides a quick numerical rating scale for specific elements of the program, which can be helpful for analysis.

Aspect of the Program	Rating (1 = Poor, 5 = Excellent)
Overall Satisfaction	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Course Content Relevance	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Teaching Methods Effectiveness	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Quality of Assessments	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Accessibility and Usability of Learning Tools	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5
Level of Peer Interaction	☐ 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5

---

Example: Completed Feedback Collection Form (Student)

• Name: John Doe
• Role: Student
• Course/Program Name: Digital Marketing 101
• Date: February 25, 2025
• Duration of Participation: 3-6 months

Overall Program Experience

• Satisfaction: Satisfied
• Relevance and Engagement: Relevant and Engaging
• Level of Difficulty: Just Right
• Clarity of Learning Objectives: Agree

Teaching and Instruction

• Effectiveness of Teaching Methods: Effective
• Quality of Course Materials: Good
• Effectiveness of Assessments: Effective
• Interaction with Instructors: Good

Program Delivery and Support

• Usability of Learning Platform: Easy to Use
• Support Received: Somewhat
• Challenges Faced: None
• Peer Interaction: Good

Program Outcomes

• Knowledge/Skills Acquired: Agree
• Achievement of Goals: Yes
• Confidence in Applying Knowledge: Confident

Suggestions for Improvement

• Improvements: Add more real-world case studies
• Suggestions: Consider more interactive assignments
• Additional Support: More group work would have been helpful
• Other Comments: Overall, a good experience!

---

How to Use the Feedback Collection Template:

• Survey Distribution: Share this form via online survey tools (e.g., Google Forms, SurveyMonkey) or in paper form.
• Data Analysis: After collecting the feedback, analyze both quantitative and qualitative data to identify trends and areas for improvement.
• Actionable Insights: Use the feedback to make data-driven decisions on enhancing the curriculum, teaching methods, and overall program delivery.