LEARNER FEEDBACK 2018/19

SECTION 5
Please write here any comments you would like to make about ADULT &
the course COMMUNITY
LEARNING SERVICE

Course Details
Provider Course
Course
Would you recommend this course to a friend? YES NO
Code
SECTION 6 Learner
For family learning courses only
name
How has this course helped you to How has attending the course benefited (optional)
support your child's learning? your child?
Start date End date

Programme Area (Please tick)

ALDD
SECTION 7 CLT
Ethnicity - Please indicate your ethnic background
Black/African/Caribbean/Black British ESOL
White White & Asian
 English/Welsh/Scottish/ Any other mixed/multiple African FEML
Northern Irish/British ethnic background Caribbean
Irish Asian/Asian British First steps to Employability
Any other Black/African/
Gypsy or Irish Traveller Indian Caribbean background
Functional skills
Any other White background Pakistani Other
Mixed/Multiple Ethnic Arab
English and maths
Bangladeshi
White & Black African Chinese Any other ethnic group Functional skills IT
White & Black Caribbean Any other Asian background IT qualification
Age 20 or under 21 - 29 30 - 39 40 - 49 50 - 59 60+ Leisure
Gender Disability Learning Difficulty STEM qualification
Male I have a disability I have a learning difficulty STEM no qualification
Female I do not have a disability I do not have a learning difficulty WFL
Thank you for completing this form.Your views and opinions are very important to us.
SYN7831

For office use only Inputted by Date

ACL Learner Feedback Form 2018/19 – V1
Please complete all sections of the form
(Ask your tutor for help if you do not understand any of the questions)
SECTION 1
Your Course
Please tick 
 I enjoyed learning on my course
 I was happy with my tutor
 I had the help I needed to achieve and make
good progress
 The tutor ensured that all learners showed
respect for others’ ideas and views
 The tutor listened to me and took note of
what I said
 The tutor helped me to understand what I
can do next
 I felt safe in the classroom
 I knew what to do if I or others did not feel
safe on the course
 I was informed about how to protect myself
from the risks associated with radicalisation
and extremist behaviour
SECTION 2
Do you know what you are going to do next? Yes /No
Are you planning to do any of the following in the next six months?
(please tick)
Yes Partly No
 Further learning
  I am going to continue in the same subject to broaden my knowledge
I am going to continue in the same subject at the next level
 I am going to try something new
 Volunteering  Employment
 Other – please state
SECTION 3
It is important for us to know how being on the course helped
in your personal development.
Please tick all those that apply -
 Developed job related skills
 Helped to be healthy and more independent
 Helped to feel safer and happier
 Helped to feel more supported in and by my community
 Increased personal self-confidence
 Improved social contact
 Developed English skills
 Developed Maths skills
 Developed IT skills
 Increased awareness of how to stay safe online
 Gained a positive attitude to learning
SECTION 4
As part of your learning were any of the following included on
the course? (please tick all that apply)
 Computer  Tablet/Ipad  Internet Social Media
Smart Phone  Digital Camera