In the study of Barati et al. 2.54% of the subjects obtained highest score in listening and the lowest score 49.3% in the feedback which agrees with our findings. It is also aligned with the results of other studies. Lack of feedback could be considered as disorder factor in establishment of effective communication, and feedback information in fact is considered as effective assessment mechanism which should be considered in the educational planning. In most of different literature, there is no difference between the two terms of listening and hearing, while there are differences between them, so that, listening the sense of hearing is simply an activity, but also listen to the senses, mind, and of the human memory involved