Tutor Feedback
Tutor’s Name:
Date:
Subject:
Your Name (Optional):
For each statement, circle the number that corresponds to your level of agreement with that statement. Some items may not
apply.
My Tutor:
Greeted me warmly
1
2
3
4
5
NA
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Not Applicable
Showed competence in the subject matter
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Explained things at an appropriate level
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Acknowledged my point of view
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Used a variety of methods in explanations (visual, diagrams, auditory, hands-on, kinesthetic)
1
2
3
4
5
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
NA
Not Applicable
Maintained a supportive learning environment
1
2
3
Strongly disagree
Disagree
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Used constructive criticism, not negative
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Gave study tips when appropriate
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Allowed me to do much of the writing and talking
1
2
3
Strongly disagree
Disagree
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Set a goal for the session
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
Managed session time well
1
2
Strongly disagree
Disagree
3
Neutral
4
Agree
5
Strongly agree
NA
Not Applicable
4
Agree
5
Strongly agree
NA
Not Applicable
Closed session with summary and feedback on my progress
1
2
3
Strongly disagree
Disagree
Neutral
Additional comments (Use the back if more space is needed):