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This form is similar to the Frequent Evaluation Developer (FRED) in that it helps you build a custom survey.  After filling out the top portion, check all the statements you'd like to include on your survey, submit it, and you'll receive a survey with the items you've selected.  If you'd like to modify the survey further or number the items, use the "Edit-Select All" and "Edit-Copy" commands in your browser to copy the survey and then paste it into a word processing program.

We find that the form is useful in at least four ways: 

  1. It allows students to vent their emotions about the exam (either positive or negative), 

  2. It helps identify miscommunications between teacher and students (i.e., if quite a few students say that the test was full of items they didn't expect and lacked the items they did expect, the teacher probably needs to do a better job of specifying learning objectives and calibrating the exam to those objectives). 

  3. It allows the instructor to correlate study duration and methods with exam grade. 

  4. It encourages students to publicly set goals and devise a method for reaching those goals.

One final tip:  if you choose to have students indicate their scores, you might tell them that they can either add or subtract a point from their real score.  This helps ensure anonymity.

Course Number:   Section:

Test Date:        Name of the Test:

What was your score?   

My Score

   Pleases me
   Upsets me
   I have no reaction

Comment:

Was your score what you expected (not what you hoped for, but what you expected)?      Yes      No

Was the content of the exam what you expected?      Yes      No

What topics that you expected weren't on the test?

What topics that you didn't expect were on the test?

Was the difficulty of the test what you expected?      Yes      No

Explain:

How much time did you spend studying specifically for this exam (not including usual class preparation)?

    1-3 hours
    4-6 hours
    7-9 hours
    10-12 hours
    13-15 hours
    16 hours or more

How did you study for the exam?  Be specific!   List all the study techniques you used and the time you spent engaged in each one.

What factors other than your study might have affected your performance?

 Were the above factors one-time events or are they likely to affect your exam performance in the future?

     One-time events
     Likely to affect my exam performance in the future

How many days have you been absent?

    One
    Two
    Three
    Four
    Five
    Six or more

How did you make up for the missed class(es)?

What is your goal for the next exam?

How do you plan to reach that goal?

By: Toby Xu and Dr. Robert Bramucci ©2001