Home and Hospital Teaching
Parent and Student Feedback Form
Please mail this form to the Pupil Personnel Worker for Home and Hospital Teaching at the end of your child's Home and Hospital Teaching assignment.
Date
Home Teacher's Name
Student's Name
Completed By
Feedback Questions
Not
Effective
Somewhat Effective
Very
Effective
1
2
3
4
5
Plans and prepares lessons:
Demonstrates adherence to schedule and promptness:
Motivates students, gains confidence and establishes rapport:
Utilizes a variety of teaching skills and methods:
Displays competencies in teaching content area:
Varies teaching to the ability level of students:
Was the school staff helpful to you and your child?
Additional Comments
Write on the back, if needed.
Print and mail to Home and Hospital Office.
H/H Form 1