Rough draft for the feedback form

As I'm working toward the proposal for the feedback system for Dr. Essid, I'm looking for various feedback forms or questions that could be used to effectively evaluate a writing consulting session. Below is something the Academic Skill Center is using, and so far it looks like they have been successful. Of course this will need a lot of re-tailoring to fit the Writing Center. If you have any comment or suggestion, please let me know.

I think that Question 3 to 7 are particularly helpful in evaluating the skills and work ethics of the tutor.

Question 8 to 14 are a great way to determine the writer's improvement as a result of the consulting session.

Tutoring Session Evaluation

Now that you have been tutored in the Academic Skills Center, we are interested in your thoughts on the services that you have received.
Please take a few minutes out of your busy schedule to complete the Academic Skills Center Tutoring Session Evaluation Survey. We appreciate your assistance.
1. In what area were you tutored?
Abstract Math Accounting American Government Biology Business Statistics Calculus Chemistry Chinese Computer science Economics Education Elem. Symbolic Logic Environmental Studies Evolution and Diversity of Life Finance Finite Math French Genetics Geography German Greek Inorganic Chemistry International Relations Latin Linear Algebra Macroeconomics Management Marketing Methods and analyses Microeconomics Music Organic Chemistry Other - Please indicate below Physics Psychology Public Policy Russian Social Science Statistics Software tools and applications Spanish Stress management Study skills Time Management
2. If you selected "Other" in question 1, please explain.

3. The tutor helped me understand a subject area (i.e. calculus, biology etc.).
Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
4. The tutor helped me to strengthen my academic skills (i.e. test preparation, critical reading, critical thinking, note-taking, etc.)
Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
5. The tutor was willing to provide a variety of explanations and approaches to help you understand the material.
Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
6. What strategy did you find most beneficial in improving your academic skills:
Critical reading Conducting daily reviews Critical thinking Test preparation Concentration Selecting main ideas Time management Motivation Stress management Group study Learning styles Memory Text anxiety Other
7. If you selected “Other” in question #6, please explain.

8. As a result of my work in the Academic Skills Center, I was able to (please check all that apply):
Improve my grades
Maintain my academic performance
Resolve a particular need or concern
Establish a goal
Meet a goal
Learn an effective strategy
Improve my ability to manage my time
Identify a resource I needed on or off—campus
Take greater responsibility for my own success
Other (please specify)
9. How helpful do you feel these sessions have been to you?
1 - Extremely helpful 2 - Helpful 3 - Feel Neutral 4 - Not very helpful 5 - Not at all helpful
10. How did you find out about the Academic Skills Center?
Faculty Referral Student Mailings TV advertisement Flyers SpiderBytes Other - please describe below
11. If you selected "Other" in question 10, please explain.

12. My knowledge and understanding of the subject matter has improved because of my efforts invested in tutoring. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
13. My personal studying is more effective because of the time invested in tutoring. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
14. I feel more confident about my ability to succeed in this course as a result of my tutoring experience. Strongly Agree Agree Feel Neutral Disagree Strongly Disagree
15. Name of Tutor:

16. Your name:

17. Please use the space below for additional comments.