Feedback Form

Name:
E-mail:
Institution Name:
Course Title:
Worksheet Name:	Acids and Bases I: Strong and WeakAcids and Bases III: pH of WaterAcids and Bases IV: Stoichiometry of Acid-Base ReactionsAcids and Bases V: pH at the Equivalence PointAcids and Bases VI: BuffersAcids and Bases VII: TitrationsAtomic Structure I: Hydrogen AtomAtomic Structure II: Atomic SpectraAtomic Structure III: Many Electron AtomsEquilibrium I: Models and Chemical SystemsGas Behavior: Partial Pressures and Gas Phase ReactionsLewis Dot Structures I: Determining if Molecules are Likely to ExistLewis Dot Structures II: Resonance StructuresPeriodic Trends: Ionization EnergyStoichiometry: Reactions and Limiting ReagentsThermodynamics I: Bond EnergyThermodynamics II: Process Direction and Gibbs Free Energy
Number of Students:
Date:	/  /

Initial Ideas

1. What were the approximate percentages of students choosing each of the answers in the Initial Ideas Vote?

A. %    B. %    C. %    D. %    E. %   

What were the most common explanations given for the students' choices in Question 1? Please indicate which answer choice corresponds to the explanation.

2. Approximately how long did it take to complete this section with your students?

Time taken for Initial Ideas:   < 5 min   5 - 10 min   > 10 min

3. Was the Initial Ideas question at the appropriate level for your students?

Level of Initial Ideas:   Too easy   Just right   Too difficult

4. Was the Initial Ideas question clear to the students?

   Yes   No

If no, please give us some comments for improving the Initial Ideas question.

Exploring

5. Approximately how long did it take to complete this section with your students?

Time taken for Exploring:   < 15 min   15 - 20 min   21 - 30 min   > 30 min

6. Were the Exploring exercises at the appropriate level for your students?

Level of Exploring exercises:   Too easy   Just right   Too difficult

7. ate the level of engagement of your students during the Exploring section. (Engagement includes interacting in groups, working on the problems, asking appropriate questions.)

< 25% engaged   25% - 50% engaged   50% - 75% engaged   > 75% engaged

8. Please give us some comments for improving the Exploring section.

Closure

9. Approximately how long did it take to complete this section with your students?

Time taken for Closure:   < 5 min   5 - 10 min   11 - 15 min   > 15 min

10. Rate the level of engagement of your students during the Closure section. (Engagement includes paying attention, asking appropriate questions.)

< 25% engaged   25% - 50% engaged   50% - 75% engaged   > 75% engaged

11. Please give us some comments for improving the Closure section.

Applying the Ideas

12. Approximately how long did it take to complete this section with your students?

Time taken for Closure:   < 5 min   5 - 10 min   11 - 15 min   > 15 min

13. Were the Applying the Ideas exercises at the appropriate level for your students?

Level for Applying the Ideas:   Too easy   Just right   Too difficult

14. Rate the level of engagement of your students during the Applying the Ideas section. (Engagement includes interacting in groups, working on the problems, asking appropriate questions.)

< 25% engaged   25% - 50% engaged   50% - 75% engaged   > 75% engaged

15. Please give us some comments for improving the Applying the Ideas section.

Overall

16. How well does this discussion sheet fit into your course syllabus? (How well did this discussion sheet align with the topics in your course?)

Alignment with course topics:   Poor   Average   Good

17. Did you find this discussion sheet to be a helpful learning tool for your students? (Based on asking good questions, on giving correct and thorough answers, on performing well on the Check-In quiz.)

Effectiveness of Discussion Sheet:   Not Useful   Useful   Very Useful

18. Do you have any additional comments? Was there anything you found particularly frustrating about the worksheet?