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LI B-69
1400 Washington Ave
Albany, NY 12222

Summer Hours: M-F, 8am - 4pm

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  Request a mid-term survey of my students to get their feedback

To request a survey for a face-to-face or hybrid course:

Please provide us the following information, then choose a survey from the list below. The blank survey forms will be printed and available for you to pick them up the day before the scheduled survey. If you wish to receive them by campus mail, please give us a lead of one week between your request and the survey date.

We recommend that you distribute the survey at the beginning of class and then wait outside the room while students respond. Pens or pencils work equally well. If you are concerned about student sensitivity and confidentiality, then simply ask a student to collect the forms and deliver them to ITLAL on your behalf. The data will be processed into an electronic report (click here to see sample) and made available to you within one week. ITLAL consultants are available to review the results with you, if you choose.

Mid-term Surveys will not be available after the mid-point of the semester, in order to avoid the perception of conflict with or influence upon the official end-of-semester SIRFs

Contact Information
First Name: Last Name:
Phone Number:
Department: Address:

Faculty Status:
  Full Time   Part Time   Adjunct   GTA   Other

Course Information

(e.g. BITM)

(e.g. the "101" part of BITM 101)
Class Location: Class Time:
Administer Date: Administer Time:
# of Students:

Your packet of midterm surveys will be put into inner office mail. If you prefer to come
and pick them up please check the box below
  I will pick up the surveys.

Surveys Available

(Survey previews open in a new window)

Evaluation of Teaching: General (preview)

Large Class (preview)

Lecture only (preview)

Class Using Groups (preview)

Graduate Seminar (preview)

Labs (preview)

Math Classes (preview)

Library General (short) (preview)

Library Group (short) (preview)

Writing (preview)

Blended (preview)