# Learner feedback — blank observation form

Status: NOT RUN. Leave observations blank until a consenting person participates.
Do not fill this form with predictions, agent simulations or invented participants.

- Anonymous session ID:
- Consent to retain anonymous notes: yes / no
- Build version and artifact checksum:
- OS/device and assistive tools (only if voluntarily relevant):
- Tasks attempted / skipped:
- Breaks, pacing and requested adjustments:

For each attempted task record:

- What the learner tried or said (anonymous, no health information):
- What worked independently:
- What help or clarification was requested:
- Exact confusing instruction/error and its filename/line:
- Whether the suggested repair helped:
- Learner's suggested change:

Use plain observations, not ability rankings. Do not infer a medical diagnosis.

Debrief:

- Clearest part:
- Most confusing part:
- One small change to try:
- Follow-up session agreed, if any:
- Notes retention/deletion agreement:

Automated example execution verifies code/output only, not these observations.