STUDENT SURVEY

A student survey utilized periodically will assess student perception of progress and re-evaluate student needs. This gives the teacher a unique opportunity to conference with each student on an individual basis and foster rapport, which is a crucial element in retention. This form can be especially useful with a long-term student.

SECTION 1: Background Information

Name:

Age:

Sex:

Male

Female

Race:

White

Black

Hispanic

American Indian

Asian

Employment:

Full-time

Part-time

Unemployed

Retired

Highest grade completed: 1 2 3 4 5 6 7 8 9 10 11 12

SECTION 2: Class Information

  1. Do you attend
  2. Who influenced you to enroll in this program? Parent, Spouse, Friend, Counselor, Employer, Other.
  3. Why did you enroll in adult education?
  4. Is this your first time enrolling in adult education classes?

    If no, when was the last month and year that you were enrolled in classes?

  5. How many classes are you now taking?
  6. Are your classes what you expected them to be? If not, how are they different from what you expected?