--- generated_by: surveylegend-page-markdown title: Academic Self-Reflection Survey Template | SurveyLegend description: Help learners reflect on one assignment, useful strategies, obstacles, and next steps. Customize this academic self-reflection questionnaire. canonical: https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/self-reflection-template/ --- # Academic Self-Reflection Survey Template Use this academic self-reflection survey to help learners review one completed assignment, the strategies they used, and their next step. Collect examples of learning rather than assigning personality or ability scores. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/self-reflection-template/#try-template) Preview on a device Show the desktop survey preview Show the tablet survey preview Show the mobile survey preview ![Academic Self-Reflection Survey: first question and response field, desktop preview](https://www.surveylegend.com/survey-template-media/previews/self-reflection-template-preview.avif) ![Academic Self-Reflection Survey: first question and response field, tablet preview](https://www.surveylegend.com/survey-template-media/previews/self-reflection-template-preview-tablet.avif) ![Academic Self-Reflection Survey: first question and response field, mobile preview](https://www.surveylegend.com/survey-template-media/previews/self-reflection-template-preview-mobile.avif) Academic Self-Reflection Survey [Preview](https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/self-reflection-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Facademic-surveys-questionnaires%2Fself-reflection-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Facademic-surveys-questionnaires%2Fself-reflection-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Facademic-surveys-questionnaires%2Fself-reflection-template%2F\&text=Academic%20Self-Reflection%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Facademic-surveys-questionnaires%2Fself-reflection-template%2F\&title=Academic%20Self-Reflection%20Survey%20Template) Reflection becomes more useful when it points to a specific piece of work. Ask learners what they tried, where they got stuck, and what they would change. Their answers can support a feedback conversation without turning private reflection into a ranking. ## When to use this academic self-reflection survey Educators and academic-support teams can use this questionnaire after an assignment or study task. It supports reflection on learning strategies, not psychological screening or grading. To collect feedback on the course itself rather than a learner’s process, use our [course evaluation](https://www.surveylegend.com/survey-examples-templates/education-school-teacher-surveys/course-evaluation-template/) template. **Create your academic self-reflection survey in SurveyLegend** Reflection becomes more useful when it points to a specific piece of work. Ask learners what they tried, where they got stuck, and what they would change. ## 7 questions for your academic self-reflection survey Use these 7 questions as a starting point. All fields are optional; choose one answer where choices are listed. Leave an irrelevant open field blank. Respondent introduction:\ Reflect on the named assignment. Describe your own learning process and avoid other people’s names. There are no right answers or automatic scores in this questionnaire. Try the survey ## A little feedback. A clearer picture. Explore this 7-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 7 ### Academic Self-Reflection Survey 01 What were you trying to learn through this assignment? Share your answer, or skip this question. 02 Which part of your work best shows progress toward that goal? Share your answer, or skip this question. 03 What strategy helped you most? Share your answer, or skip this question. 04 Where did you get stuck? Share your answer, or skip this question. 05 What did you try when you encountered that difficulty? Share your answer, or skip this question. 06 What would you do differently on a similar task? Share your answer, or skip this question. 07 What support would help you take that next step? Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## How to customize your academic self-reflection survey Name the assignment and explain who can read responses. Adapt language to the learners and make clear whether participation is part of the learning activity. If the answers will be used for research, establish the appropriate study process separately. Do not infer ability from confidence or writing style. Before sharing widely, try the questions with a few people from the intended audience and clarify anything they interpret differently. ## Printable academic self-reflection survey template Use this printable academic self-reflection survey template after an assignment review or tutorial. It includes the same questions and space to write, giving people who prefer paper or are less comfortable online another way to take part. SurveyLegend helps you offer both formats. Tell respondents where to return the completed form and who will review it. Paper answers need a separate review or manual entry process; they are not automatically added to online responses. [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download PDF](https://www.surveylegend.com/downloads/survey-templates/self-reflection-template.pdf) Export academic self-reflection survey template as PDF ## AI prompt for a academic self-reflection survey Use these questions to help learners connect a completed assignment with their next learning step. The full prompt below specifies your academic self-reflection survey, including all 7 questions and response settings. Copy it, register for a free SurveyLegend account, and paste it into SurveyLegend’s AI survey creation tool. Review the result and add your organization’s details before sharing. AI prompt for a academic self-reflection survey [Use prompt directly in SurveyLegend](https://www.surveylegend.com/register/) Create a free account, then paste the copied prompt into SurveyLegend. Already have an account? [Sign in to create your academic self-reflection survey.](https://app.surveylegend.com/login/) ## How to use the answers Look for the connection between a strategy, the difficulty encountered, and the learner’s proposed next step. Discuss specific examples rather than scoring the openness of a response. Use common support requests to plan instruction while keeping individual comments within the stated review process. ## Frequently asked questions ### Is self-reflection the same as course evaluation? No. Self-reflection examines the learner’s approach to a task. Course evaluation asks about the course and teaching experience. ### Should we grade these answers? This version does not define a grading rubric. Explain the intended use before collecting responses and avoid treating candor as a performance score. ### Can these responses support research? Only within an appropriate study design and review process. A classroom reflection activity does not automatically establish research consent. Academic Survey and Questionnaire Templates 1. [![Preview of the Student Satisfaction Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-student-satisfaction-survey-template-survey-preview.avif) Student Satisfaction Survey Template Academic research This student satisfaction survey template is designed to help universities learn directly from the people who know campus life best—the students. With the right questions and an easy-to-use format, it becomes much simpler to gather honest feedback and spot areas that need improvement.](https://www.surveylegend.com/survey-examples-templates/student-satisfaction-survey-template/) 2. [![Preview of the Faculty Satisfaction Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-faculty-satisfaction-survey-template-survey-preview.avif) Faculty Satisfaction Survey Template Academic research A faculty satisfaction survey gives colleges and universities a way to understand how their educators truly feel about their work. When faculty members feel valued, supported, and engaged, they are more likely to stay, teach better, and contribute positively to campus life.](https://www.surveylegend.com/survey-examples-templates/faculty-satisfaction-survey-template/) 3. [![Preview of the Student Graduation Survey Template](https://www.surveylegend.com/survey-template-media/previews/template-student-graduation-survey-template-survey-preview.avif) Student Graduation Survey Template Academic research Running a campus is tough, but amazingly rewarding. One of the biggest tasks when in charge of a university is to keep the enrollment high, the students and educators happy. With the help of our student graduation survey template, you will get to know several aspects of the students’ experience when studying at your university by gathering feedback from graduates.](https://www.surveylegend.com/survey-examples-templates/student-graduation-survey-template/) 4. [![Preview of the Pre- and Post-Intervention Survey demo showing its first question and answer choices](https://www.surveylegend.com/survey-template-media/previews/pre-and-post-intervention-template-preview.avif) Pre- and Post-Intervention Survey Template Academic research A before-and-after comparison needs the same subject, wording, and response options at both points. This version is designed for a nonclinical learning program with one named skill. It collects perceptions, not an objective skill test or proof of effectiveness.](https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/pre-and-post-intervention-template/) Free survey maker ## Start creating surveys today *for free* Create and bring your ideas to life with the survey tool used by people all over the world. [Get started for free ](https://app.surveylegend.com/register/)[Book a demo](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/) Academic research survey ### Ready to collect better research data? Create academic surveys and questionnaires from ready-made templates. 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[Start free](https://app.surveylegend.com/register/) to create your academic self-reflection survey and adapt the questions to your audience. [*Self-serve* Start free Create your first survey in minutes **Start free** ](https://app.surveylegend.com/register/)[*Guided help* Book a demo Talk with a SurveyLegend expert and choose the right plan. **Book a demo**](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/)