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 effectively gather feedback, consider including the following questions in your survey: 1. How likely are you to use this product? (1-5 scale) 2. What features do you find most appealing? 3. What improvements would you suggest? 4. How does this product compare to others you’ve used? 5. Any additional comments or suggestions?