Teacher Trial Feedback Form Teacher Name Trial Lesson Date (DD/MM/YYYY) Trial Lesson Time (HH:MM – Student Time Zone) Student showed up for Trial Lesson Select Yes No Student Name Student Gender Select Male Female Student Email Address Student Age Group Select Child Teenager Young Adult Adult Senior Country / City (current residence) Trial Lesson (Topic Covered) Purpose of Learning Select School Support University Support Fun / Interest Partner is Spanish Work / Business Daily Living Immigration to Spain Purpose of Learning (if different from above) Exam Name & Date (if any) Current Level (what Student said) Select Zero Beginner A1 Lower Beginner A2 Upper Beginner B1 Lower Intermediate B2 Upper Intermediate C1 Lower Advanced C2 Advanced Current Level (what Teacher thinks) Select Zero Beginner A1 Lower Beginner A2 Upper Beginner B1 Lower Intermediate B2 Upper Intermediate C1 Lower Advanced C2 Advanced Teacher's Justification Any Student Issues Select Student was late Class was rescheduled Miscalculation of time zone difference Internet was unstable Student prefers not to use webcam None Any Teacher Issues Select Teacher was late Class was rescheduled Miscalculation of time zone difference Internet was unstable None Any special requests from Student Class dynamics Select Active participation Passive participation Package Student is interested in Select 4 hours 10 hours 20 hours Not decided yet Regular Class Schedule Select Discussed and can fit into my TS Discussed and cannot fit – assign another teacher Not discussed Any other details Please enable JavaScript for this form to work.
