Teacher Evaluation Feedback Survey Instrument

The purpose of this survey is to understand your thoughts on the usefulness and accuracy of your 

evaluation feedback. The survey is being conducted by REL Central, which is part of a network of ten 

Regional Education Laboratories (RELs) funded by the U. S. Department of Education's Institute of 

Education Sciences (IES). Each REL serves a designated region of the country and focuses on the 

national priority of helping states and districts use data and analysis to address relevant and timely 

education policy and practice issues with the goal of improving student outcomes.

You are one of a sample of teachers that was selected to represent not only you, but others in your role 

throughout the Central Region; thus, it is essential that we hear back from you. Your feedback is 

important to us, because it will help REL Central inform future teacher evaluation practices.

PLEASE NOTE: Your participation is voluntary, and you may skip any question or stop at any time. 

Per the policies and procedures required by the Education Sciences Reform Act of 2002, Title I, Part 

E, Section 183, responses to this data collection will be used only for statistical purposes. The reports 

prepared for this study will summarize findings across the sample and will not associate responses 

with a specific district or individual. We will not provide information that identifies you or your district to 

anyone outside the study team, except as required by law. Any willful disclosure of such information for 

nonstatistical purposes, without the informed consent of the respondent, is a class E felony.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information 

unless such collection displays a valid OMB control number. Public reporting burden for this survey is estimated to 

average 30 minutes per response including time for reviewing instructions, searching existing data sources, gathering 

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding 

the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, 

to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210‐4537 or email 

ICDocketMgr@ed.gov and reference the OMB Control Number XXXX‐XXXX. Note: Please do not return the completed 

survey to this address.
Teacher Evaluation Feedback Survey Instrument

INTRODUCTION: The following survey asks questions about your experiences with feedback you 

received as part of your district's teacher evaluation system. As you answer the questions, please 

consider only feedback that you received from your designated evaluator in your district. Your 

designated evaluator is the person who is responsible for providing your performance rating at the 

end of the school year. 

*1. I have read and understand these instructions.

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Teacher Evaluation Feedback Survey Instrument

2. As part of the district's teacher evaluation system, who was your designated evaluator 

in the current school year? (Select only one)

gfedc My principal

gfedc My assistant principal

gfedc A peer

gfedc My department chair

gfedc My coach

Other (please describe)
Teacher Evaluation Feedback Survey Instrument

3. Indicate your level of agreement with each of the following statements about the 

usefulness of the feedback you received as part of the teacher evaluation system in your 

district. Please consider the feedback that you received throughout the current school 

year from your designated evaluator.

Strongly 

Disagree

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Agree Strongly Agree

My evaluator's 

feedback included 

specific improvement 

suggestions.

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My evaluator provided 

feedback within an 

appropriate timeframe.

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My evaluator provided 

feedback as frequently 

as I needed it.

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My evaluator's 

feedback included 

specific suggestions 

to improve my 

content/subject 

knowledge.

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My evaluator's 

feedback included 

specific instructional 

strategies that I could 

use to improve my 

teaching.

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My evaluator's 

feedback included 

specific classroom 

management 

strategies that I could 

use to improve my 

teaching.

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My evaluator 

recommended next 

steps for finding 

professional 

development to 

improve my teaching.

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Teacher Evaluation Feedback Survey Instrument

4. Indicate your level of agreement with each of the following statements about the 

accuracy of the feedback you received as part of the teacher evaluation system in your 

district. Please consider the feedback that you received throughout the current school 

year from your designated evaluator.

Strongly 

Disagree

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Agree Strongly Agree

The feedback I 

received was an 

accurate portrayal of 

my teaching.

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The classroom 

observations that 

informed the feedback 

I received represented 

a typical day in my 

classroom.

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I would receive the 

same feedback from a 

different evaluator.

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I would receive the 

same feedback if my 

evaluator had 

examined different 

evidence (for example, 

if they observed a 

different lesson or 

reviewed additional 

evidence).

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Teacher Evaluation Feedback Survey Instrument

5. Indicate your level of agreement with each of the following statements about the 

credibility of the evaluator who provided you feedbackas part of your evaluation. Please 

consider the feedback that you received throughout the current school year from your 

designated evaluator.

Strongly 

Disagree

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Agree Strongly Agree

My evaluator had 

sufficient knowledge of 

my subject/content.

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My evaluator had 

sufficient knowledge of 

how my students 

learn.

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My evaluator had a 

sufficient 

understanding of the 

curriculum being 

observed.

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My evaluator had 

sufficient 

understanding of the 

established teacher 

evaluation criteria.

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Teacher Evaluation Feedback Survey Instrument

6. Indicate your level of agreement with each of the following statements about the 

opportunites you had for learning in relation to the feedback you received as part of the 

teacher evaluation system in your district. Please consider the feedback that you received 

throughout the current school year from your evaluator.

Strongly 

Disagree

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Agree Strongly Agree

I had access to the 

professional 

development that I 

needed in order to 

implement 

suggestions provided 

in my feedback.

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I had access to a 

coach/mentor who 

supported me in 

implementing 

suggestions provided 

in my feedback.

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I was able to observe 

expert teachers 

modeling skills that 

related to my 

feedback.

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I had time during the 

school day to plan for 

implementing new 

strategies based on 

my feedback.

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Teacher Evaluation Feedback Survey Instrument

7. Indicate your level of agreement with each of the following statements about the 

response you had to the feedback you received as part of the teacher evaluation system in 

your district. Please consider the feedback that you received throughout the current 

school year from your evaluator.

Strongly 

Disagree

Disagree

Somewhat 

Disagree

Somewhat 

Agree

Agree Strongly Agree

Because of the 

feedback I received 

from my evaluator, I 

tried new instructional 

strategies in my 

classroom.

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Because of the 

feedback I received 

from my evaluator, I 

tried new classroom 

management 

strategies in my 

classroom.

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Because of the 

feedback I received 

from my evaluator, I 

sought professional 

development

opportunities.

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Because of the 

feedback I received 

from my evaluator, I 

sought advice from a 

coach/mentor.

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Teacher Evaluation Feedback Survey Instrument

8. How important was each of the following in determining your response to the feedback 

provided by your designated evaluator in your district?

Importance of Usefulness of Feedback

Unimportant Slightly Important Important Very Important Critical

Receiving 

recommended next 

steps for finding 

professional 

development to 

improve your teaching.

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Receiving feedback 

within an appropriate 

timeframe.

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Receiving feedback as 

frequently as you 

needed it.

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Receiving feedback 

with specific 

suggestions to 

improve your 

content/subject 

knowledge.

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Receiving specific 

instructional strategies 

that you could use to 

improve your teaching.

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Receiving specific 

classroom 

management 

strategies that you 

could use to improve 

your teaching.

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Receiving specific 

improvement 

suggestions.

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Teacher Evaluation Feedback Survey Instrument

9. How important was each of the following in determining your response to the feedback 

provided by your designated evaluator in your district?

Importance of Accuracy of Feedback

Unimportant Slightly Important Important Very Important Critical

Receiving feedback 

that was an accurate 

portrayal of my 

teaching.

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Receiving feedback 

from classroom 

observations that 

represented a typical 

day in my classroom.

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Having confidence that 

I would receive the 

same feedback from a 

different evaluator.

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Having confidence that 

I would receive the 

same feedback if my 

evaluator had 

examined different 

evidence (for example, 

if they observed a 

different lesson or 

reviewed additional 

evidence).

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Teacher Evaluation Feedback Survey Instrument

10. How important was each of the following in determining your response to the feedback 

provided by your designated evaluator in your district?

Importance of Credibility of Evaluator

Unimportant Slightly Important Important Very Important Critical

Having confidence that 

my evaluator had 

sufficient knowledge of 

my subject/content.

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Having confidence that 

my evaluator had 

sufficient knowledge of 

how my students 

learn.

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Having confidence that 

my evaluator had a 

sufficient 

understanding of the 

curriculum being 

observed.

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Having confidence that 

my evaluator had a 

sufficient 

understanding of the 

established teacher 

evaluation criteria.

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Teacher Evaluation Feedback Survey Instrument

11. How important was each of the following in determining your response to the feedback 

provided by your designated evaluator in your district?

Importance of Access to Learning Opportunities

Unimportant Slightly Important Important Very Important Critical

Having access to the 

professional 

development that I 

needed in order to 

implement 

suggestions provided 

in my feedback.

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Having access to a 

coach/mentor who 

supported me in 

implementing 

suggestions provided 

in my feedback.

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Being able to observe 

expert teachers 

modeling skills that 

related to my 

feedback.

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Having time during the 

school day to plan for 

implementing new 

strategies based on 

my feedback.

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Teacher Evaluation Feedback Survey Instrument

12. How often did you receive written feedback from your designated evaluator 

throughout the school year? Written feedback includes any feedback that your evaluator 

provided in writing in which they provided feedback specific to observations or artifacts 

collected as part of your evaluation.

13. How often did you have a feedback conversation with your designated evaluator 

throughout the school year? Feedback conversations are defined as any conversation 

with your evaluator in which they provided feedback specific to observations or artifacts 

collected as part of your evaluation. 

14. To what extent did the feedback you received from your designated evaluator improve 

your instruction?

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nmlkj Once

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nmlkj Once

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nmlkj Not at all

nmlkj To some extent

nmlkj To a great extent
Teacher Evaluation Feedback Survey Instrument

15. Including this year, please indicate how many years of teaching experience you have.

16. Please indicate the grade level that you teach currently (select one or more):

17. Please indicate the subject and/or students that you teach currently (select one or 

more):

6

gfedc Early Childhood

gfedc Kindergarten

gfedc 1st grade

gfedc 2nd grade

gfedc 3rd grade

gfedc 4th grade

gfedc 5th grade

gfedc 6th grade

gfedc 7th grade

gfedc 8th grade

gfedc 9th grade

gfedc 10th grade

gfedc 11th grade

gfedc 12th grade

gfedc Language Arts

gfedc Math

gfedc Science

gfedc Social Studies

gfedc Non­core subjects (i.e., physical education, art, technology)

gfedc English Language Learners

gfedc Special Education

gfedc Intervention

Other (please describe)
Teacher Evaluation Feedback Survey Instrument

Thank you for your participation. We greatly appreciate it!

18. If you would like to receive a $30 gift card for your participation, please provide 

information on where we should mail the gift card. If you would like to opt out of this 

incentive please check the box indicating that you are opting out. 

19. Opt out

YOUR SURVEY IS COMPLETE

Name

Street Address

City

State

Zip

nmlkj I would like to opt out of receiving the $30 incentive.