Student Evaluation Form Quarter Two

Name: ______________________________________________________ #:______________

Please reflect on the past 9 weeks and answer these questions carefully and
honestly.

My strengths at school are: ______________________________________________________________________

_________________________________________________________________________________________________
_________________________________________________________________________________________________
Some challenges at school are: __________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

My reaction to Quarter 2 is (happy, proud, disappointed, frustrated): __________________________________

Because: ________________________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________

YOUR 5th grade year is mostly determined by YOU! What high expectations are
you going to set for yourself?
My goals for Quarter 3 are:

1) ____________________________________________________________________________________
2) ____________________________________________________________________________________
3) ____________________________________________________________________________________

Down below, or on the back, please list any questions, concerns, or comments you would like to
tell me in order to get ready for Quarter 3.