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This study investigates the impact of secondary school students perceptions of mathematics teachers formative assessment practices and feedback delivery on their feedback use, and mathematics performance. The sample consisted of 2767 Form 3 (Grade 11) students from 48 secondary schools in Tanzania. Surveys and focus group discussions were used to measure students perceptions of formative assessment, feedback delivery, and feedback use. Structural Equation Modelling (SEM) of survey data showed that students perceptions of the quality of teacher feedback delivery and perceived scaffolding positively predicted students feedback use whereas perceived monitoring negatively predicted feedback use. In turn, students feedback use positively predicted their mathematics performance to a small extent. Content analysis of focus group discussions illustrated that most students valued their mathematics teachers assessment practices. The findings imply that in Sub-Saharan African educational systems the quality of teacher feedback delivery and promotion of student feedback use can improve students mathematics performance. 2019, 2019 Informa UK Limited, trading as Taylor & Francis Group.