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* 1. Your name

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* 2. Name of your Course

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* 3. Name of your Instructor

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* 4. Please rate the following on a scale of 5 (strongly agree) to 1 (strongly disagree). NA=Not applicable

  Strongly disagree Agree Neutral disagree Strongly Disagree N/A
I find the format of this class (lecture, discussion, and problem-solving) helpful to the way that I learn.
I feel that this class format engages my interest.
I feel comfortable speaking in this class.
I learn better when the instructor summarizes key ideas from a class session.
I find the comments on exams or other written work helpful to my understanding of the class content.
I find that this class stimulates my interest in reading about this subject outside of class.
I feel comfortable approaching the instructor with questions or comments.
I think that I would learn better if a different format were used for this class (suggested below). 
Questions Applicable for Problem-solving or Laboratory Classes
The problems worked in this class help me in working other problems on my own.
The problems worked in this class help me in learning the content ideas in this class.
I feel that I learn how to solve problems more easily when I work with a group of students
I find class discussions help me in understanding the readings.
I find class discussions help me in understanding key ideas in the course
I learn more if class discussions are more structured.
I feel that class discussions are dominated by one or a few people.
I learn better when I have more of a chance to speak.
I learn more from discussions when I am given a question to think about first.
I learn more from discussions when I am given a question to write about first. 
Questions for Classes Using Team or Group Work
I feel that I learn more when I work with a group
My group works well together
I feel that I need more guidance for our group work.
I find that working in a group confuses me.
I find it helpful if the instructor summarizes results obtained as part of group work.
I find it helpful to get feedback from my group on my own performance in the group.
I think that groups work better when each person has an assigned role in the group.

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* 5. Do you usually understand what is expected of you in preparing for and participating in this class? If not, please explain why not

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* 6. What aspects of this course and your instructor's teaching help you learn best?

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* 7. What specific advice would you give to help your instructor improve your learning in this course?

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* 8. What steps could you take to improve your own learning in this course?

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* 9. What other ideas would you suggest to improve this course (e.g., changes in course structure, assignments or exams)?

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