About this template
A distance learning survey is essential for educators who want to understand if students' educational needs are being met in a virtual or hybrid environment. This template helps teachers, school administrators, and program coordinators gather honest, actionable feedback directly from students and their families.
By collecting data on home internet connectivity, course navigation, material clarity, and overall satisfaction, educators can identify technical barriers and pedagogical gaps. The form also includes dedicated sections for open-ended comments and recommended course changes, ensuring you capture both quantitative ratings and qualitative insights to continuously improve the remote learning experience.
Key features
- Gather student and parent feedback in one organized place
- Assess technical readiness and home internet access
- Evaluate course content, navigation, and format satisfaction
- Collect actionable recommendations for virtual class improvements
- Ready to deploy instantly as a Google Form
Use cases
- End-of-term virtual course evaluations
- Assessing remote student technology and internet access needs
- Gathering parent feedback on K-12 online learning programs
- Mid-semester check-ins for higher education online classes
What this form collects
- Parent Name (Short answer)If applicable, enter your first and last name.
- Student Name (Short answer)Enter the student's full name.
- Email Address (Short answer)Enter the best email address for follow-up communications if needed.
- Name of School (Short answer)Enter the name of the school or institution.
- Grade Level (Dropdown)Select the student's current grade level.
- Class Group Join Status (Multiple choice)How regularly is the student able to join live virtual sessions?
- Home Internet Access Type (Dropdown)Describe your primary internet connection used for schoolwork.
- Overall Course Experience Rating (Linear scale)Rate your overall satisfaction with remote learning this term.
- Course Content Satisfaction (Linear scale)Rate the quality and relevance of the learning materials.
- Course Navigation & Format (Linear scale)How easy is it to find assignments, links, and resources online?
- Recommended Course Changes (Paragraph)What changes or improvements would you like to see in future virtual classes?
- Additional Comments (Paragraph)Share any other feedback, questions, or concerns you have about distance learning.
FAQ
How do I share this survey with my students and parents?
Once you convert this template into a Google Form, you can easily share it via a direct link, email it to your class roster, or embed it directly into your school's learning management system (LMS) or website.
Can I customize the questions to fit my specific grade level?
Yes! Google Forms allows you to fully edit, add, or remove any questions so the survey matches your exact curriculum, grade level, and teaching format.
Are responses collected anonymously?
By default, Google Forms collects email addresses only if you configure the settings to do so. You can easily toggle email collection off if you want completely anonymous feedback.
How can I view the feedback I receive?
All survey responses automatically populate into a linked Google Sheets spreadsheet, making it easy to analyze ratings, review comments, and share insights with colleagues.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.