Create a lesson exit ticket Google Form

Who this is for

Teachers planning the next lesson from a brief, ungraded learner reflection.

Example form

Lesson Exit Ticket
> Replace the topic with today's lesson topic.

Explain today's main idea in your own words [paragraph]

How confident are you about this topic? [scale] low=1 high=5 low_label="Not confident" high_label="Very confident"

What question do you still have? [paragraph]

About this example

• Three questions so the reflection can stay short and focused.
• Confidence is self-reported and should be read alongside the learner’s explanation, not treated as proof of understanding.

Before you start

• Replace “today’s topic” with the specific lesson topic and decide what tomorrow’s teaching decision will be.
• Decide whether names are genuinely needed; this example includes none. Review account and email collection settings.
• Use your school’s approved platform and process if Google Forms is not permitted.

Create your form

1. Open the example and adapt the lesson topic in the title or introduction.
2. Preview the two open questions and confidence scale, then create the Google Form in your account.
3. Read the reflections yourself and choose one explanation or activity to revisit in the next lesson.

Limits and settings to check

• This is an ungraded reflection, not a quiz with an answer key or an automatic learning assessment.
• SurveysAI does not grade free-text responses or decide an individual learner’s outcome.
• Leaving out names does not guarantee anonymity. Account settings and the details in answers still matter.

Related guides

• Make a Google Forms Quiz with AI (Answer Key and Points)