Most Memorable and Effective Teacher Survey
Describe the K-12th grade teacher who most influenced you.
Where did this teacher teach?_____________(country or state)
At the time you were in this teacher’s class, about how old was he/she? 20’s 30’s 40’s 50’s 60+
Grade your teacher taught:____________Subject (if applicable)____________
Teacher gender: Male Female
Please answer the following to describe the teacher who most influenced you. You may use sentences or phrases. Please use the back if you need additional space.
1. Describe your most memorable experience/s with this teacher. What happened? Where and when did it happen? Why do you remember this experience/s?
2. Describe other characteristics that you found effective in his/her teaching, such as classroom activities, teaching strategies, relationships, classroom arrangement, etc.
3. If you could meet this teacher now, what would you say to him/her?
4. What advice would you give to teachers so their students will succeed as you have?
Part II What are the qualities of an effective teacher?
Rate the importance following teacher qualities in order of importance from 1 to 10 with 1 as most important and 10 as least important.
Teacher Characteristic Rating
A. Understands how different children learn
B. Uses many different resources to best meet needs of diverse students
C. Classroom set up stimulating and conducive to learning
D. Has respect and rapport with students
E. Manages student behavior and class routines
F. Has mastery of subject matter
G. Uses questioning and discussion techniques
H. Makes sure all students participate
I. Shows professional, ethical conduct
J. Service outside the classroom – professional and community service
Please tell us about yourself (required info):
Gender: Male Female
Age range: 20-30 yrs old 30+ to 40 40+ to 50 50+ to 60 60+
Ethnic background: Please specify _____________________________(Chamorro, Filipino, etc.)
How would you rate yourself as a student? Poor Good/Average Above Average Excellent
Employment Level: Supervisory Management/Executive Business Owner/Proprietor/CEO