The person appears to be a/an Middle Eastern Male, approximately 10 to 19 years old.
Sure! Here’s a simple survey template you can use: 

1. How would you rate your understanding of the topic discussed in class? (1 = Poor, 5 = Excellent)
2. What aspects of the topic did you find most interesting?
3. Do you think we should explore this topic further? (Yes/No)
4. Any additional comments or suggestions?

Feel free to modify the questions to better fit your needs!
To gather valuable feedback from young adults, consider including the following questions: 1. How often do you use our product? 2. What features do you find most useful? 3. On a scale of 1 to 5, how likely are you to recommend our product to a friend? 4. What improvements would you suggest? 5. Any additional comments or suggestions?