Name of student: Age: Birthday:

Teacher:

Student Evaluation Form

The following areas are rated on a scale from 1-5.
(1 being the least and 5 being the greatest)

SKILLS: RATING

1. Rhythm 1 2 3 4 5

2. Listening 1 2 3 4 5
3. Understanding Terms and
1 2 3 4 5
Symbols
Other: 1 2 3 4 5

Other: 1 2 3 4 5

CHARACTER:
1. Attentiveness/ listening to
1 2 3 4 5
the teachers instructions
2. Enthusiasm 1 2 3 4 5

3. Determination 1 2 3 4 5

Comments:

SMA/Forms/Attendance Sheet