PDF file, ready to print and copy! I usually copy it as a half sheet to save paper! :)
I hand out this survey on the last day of the first semester. I encourage students to be brutally honest and remind them it is a survey, so they don't have to write their name. My high school students give me meaningful information, but this could be used in junior high also, maybe even 6th grade.
When I find some extra time during the holidays, I read these and make changes accordingly. I've actually changed things in my classroom because of these surveys!
My teacher...makes our classroom a good place to be.
Students choose between yes, sometimes, no.
At the bottom I ask 3 questions for them to give me a written resonse, all questions worded positively (I like to keep it positive). Sample question...What do you like about this class?