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* 1. Student Name

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* 2. Course Subject (e.g. English)

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* 3. Course Number (e.g 101)

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* 4. Professor/Instructor Name

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* 5. Professor/Instructor Email

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* 6. Professor/Instructor Phone

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* 7. Please rate the student in the following areas:

  Very Good Good Fair Poor Very Poor  Not Applicable
Class Participation
Attendance
Assignments

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* 8. What are the average grades-- if applicable

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* 9. What is the student's overall grade?

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* 10. Does the student need any type of assistance?

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* 11. Do you have any suggestions and/or general comments to add?

Thank you for completing our survey!

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