SELF, PEER and TEACHER’S EVALUATION FORM

Student’s Name: Kelly natalia garcia Rojas

You are going to use the form below to assess both your performance and your classmate’s in this course. Take into account your commitment,
dedication, participation in curricular and extra-curricular activities, and the like. Grant yourself and your assigned peer a value for each listed
attribute. Make a comment for at least two categories. Your professor will complete the third column for you.

Scale:
10=Strongly Agree 8=Agree 7=Somewhat Agree 6=Neither Agree nor Disagree 5=Somewhat Disagree 4=Disagree 2=Strongly Disagree

Myself Evaluated by Peer (if Evaluated by Professor (if

applies) applies)
Attribute Value Comments Value Comments Value Comments
CLASS ATTENDANCE: Was always I always arrive to class on
present and on time for class 10 time, with all
sessions and activities. Was availability and
respectful to class start and end take notes
times.
PREPARATION FOR CLASS: Was 8 I always try to have
consistently well-prepared for everything
sessions. Completed assignments organized for the
and brought all the materials time of class
required for class.
CLASS WORK AND 6
PARTICIPATION: Stayed on task in
class. Did not get so much distracted I do not participate in
by peers, the cell phone, and the like. class but I am
Did work accurately and completely. always very
Met deadlines. Contributed attentive to the
positively to group or class class
discussions.
ATTITUDE IN CLASS: Was 7 I always have an
respectful to others’ opinions. attitude, I listen
Listened carefully to the teacher’s to the teacher and
and peers’ ideas. Was always willing my classmates
to follow class instructions.
ATTITUDE TOWARDS LEARNING: 5 I'm not very good at English
Was committed to learning as much but I tried to learn
English as possible, without
resorting so much to translators.
Made every effort to improve my
English competence during this
 course.
Adapted from: http://www.lapresenter.com/coopevalpacket.pdf http://www.ilclassroomsinaction.org/uploads/2/6/0/8/26089560/intel-density-peer-rubric.pdf

Comments and Grade:_____________________________________________________________________________________________________.