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Reflect on your participation during group week. Reflect on each of your teammate’s participation during group week. Think carefully about assigning rating values for each of the statements.

Self and peer evaluation form

Team Name:
___________________________

Read the following list of
statements. Reflect on your participation during group week. Reflect on each of
your teammate’s participation during group week. Think carefully about assigning
rating values for each of the statements.

Strongly agree 17
– 20 points

Agree 13 – 16 points

Neutral 9
– 12 points

Disagree 5 – 8 points

Strongly disagree 0 – 4 points

[Sample]

Teammate
(Name): Pat Smith

Self (Name):

Teammate (Name):

Teammate (Name):

Teammate (Name):

Teammate (Name):

Contributed thoroughly and positively
to groupdiscussion(s).

19

Completed work on

time.

10

Worked well with

other group

members.

20

Overall was avaluable member of

the team.

18

Average
score*

(average score calculated by instructor):

After entering your scores, save
this document as a Word document and submit through Blackboard.

*The points from the four
sections will be averaged for the Final Score.

Total
points possible per team member: 20 points

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