I give this out to my students at report card time, and they love getting to grade ME!
This simple form has helped me to learn so much about my students: who's being teased or bullied, what worries them, classroom activities they love and hate, and ideas they have for how to make our classroom a happier and more engaging place to learn.
It also gives me a chance to self-reflect on how students perceive me, and how my actions and words affect their feelings about school. It's an eye-opener