Student feedback form
On a scale of 1 - 10, how far do you agree with this statement?
"Science is for people like me."
1
2
3
4
5
6
7
8
9
10
Which of these statements best describes how you feel about science?
Science is not for me.
I am interested in science but I don’t choose to take part in optional science activities and events.
I am enthusiastic about science and actively seek out science activities and events.
How has today's event changed how you feel about science
?
Much more interested
A bit more interested
It's about the same
A bit less interested
Much less interested
How would you rate this event?
Excellent
Good
Average
Poor
Terrible
Would you like to do a job in science?
Definitely yes
Maybe
Not sure
Probably not
Definitely not
When did the event take place?
In lesson time
At lunch time, after school, or on a weekend
An off timetable day
Age:
7-10
11-15
16-19
19+
Do you consider yourself to have a disability?
yes
no
prefer not to say
Gender:
Female
Male
Prefer not to say
Prefer to self describe.....................................................
Ethnicity:
White British
White Other
Black/Black British (African, Caribbean etc.)
Asian/Asian British (Indian, Chinese, Pakistani, Bangladeshi etc.)
Mixed (White & Black Caribbean, White & Asian, etc.)
Prefer not to say
Other (please specify)......................................................