Exit Ticket Survey Template

An exit ticket is a short end-of-lesson check that helps a teacher plan what comes next. This SurveyLegend template asks learners to explain one idea, apply it, and identify where more help would be useful. Read the responses before the next lesson so feedback leads to a visible teaching decision.

Use the questions at the end of one named lesson, with enough time for brief written answers. The aim is to identify a misconception or a missing step while there is still an opportunity to respond. Confidence alone is not evidence that a learner can apply an idea.

For feedback on teaching, materials, and workload across a whole course, use SurveyLegend's course evaluation template instead.

Chloe Fifer's 2019 Abilene Christian University master's manuscript examined consistent exit tickets in seventh-grade science. Its abstract reports “no change in ability to write a test question,” alongside other mixed findings. The exit ticket study is a useful caution: collecting reflection does not prove skill improvement. SurveyLegend's original questions therefore separate self-reported confidence from an explanation and an example; they are not a validated learning assessment.

Use the seven questions below. Every field is optional and always visible. Select one answer where choices are listed; leave any irrelevant written answer blank.

Respondent introduction:
Think about the lesson named above. Share brief answers about the central idea and what would help next time. Every question is optional. Do not include your name or other people's personal details in this example.

Replace “the central idea” with a specific lesson goal if learners might interpret it differently. For a fractions lesson, for example, specify equivalent fractions; do not ask about an entire term of mathematics. Review the example question yourself before sharing so you know what would count as relevant application. Do not add automatic scoring to these open responses.

Keep all seven fields optional and visible, and let learners leave written fields blank if they missed the lesson. Adapt the reading level without changing what the question measures. Explain who sees the responses and avoid promising anonymity in a small class. If the task is reflection on a completed assignment rather than a quick lesson check, use the academic self-reflection template.

Create a lesson exit ticket that pairs readiness with an explanation, an example, and the next teaching step. Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing.

Read the explanations and new examples before relying on readiness choices. A confident response paired with an incorrect example points to a different teaching need than a correct example paired with low confidence. Review against the lesson goal; do not infer ability from writing length or fluency.

Group unresolved questions into a few teaching themes. Use the requested support to choose a recap, a contrasting example, or guided practice, then explain that choice to the class. Keep missed-lesson responses separate and provide the usual catch-up route. This is a snapshot from those who responded, not proof of learning gains, a grade, or a basis for ranking students.