Participation and Self-Evaluation

To assess your responsibiities as a student and the effort put forth to the success in Chemistry. A rating of "1" implies NEVER. "2" - RARELY. "3" - SOMETIMES. "4" MOSTLY. A rating of "5" ALWAYS .
Name: 


A red asterisk (*) indicates required questions.

  1. I actively and positively contribute to the class lesson.*
    1 2 3 4 5


  1. I complete all homework assignments.*
    1 2 3 4 5


  1. I complete all classwork.*
    1 2 3 4 5


  1. I work well with my lab group and contribute to the completion of the lab report and/or data record sheet.*
    1 2 3 4 5


  1. I am on time for class.*
    1 2 3 4 5


  1. I am respectful of myself and my surroundings (i.e. - keeping a neat surrounding, not using profane/offensive language, not being disruptive)*
    1 2 3 4 5


  1. I turn in long-term projects/assignments when they are due.*
    1 2 3 4 5


  1. I ask for help or clarification if I need it.*
    1 2 3 4 5


  1. I study/review the lesson daily or in preparation for an assessment.*
    1 2 3 4 5


  1. I put forth my best effort in every aspect of the expectations of the class.*
    1 2 3 4 5


  1. Use this space to further explain or justify your responses to the survey questions. Include what you believe your particpation grade should be for the marking period.*





Ms. Stokes
Chemistry Teacher
Sayreville War Memorial High School
Parlin, NJ