Name_________________________________________
Date______________________
What was the group working on______________________________
Please rate each of the following statements on a scale from 1 to 4
4 = Most of the time
3 = Some of the time
2 = A few of the times
1 = No times
Question Rating
1. Did I contribute to the group? 1 2 3 4
2. Did I help to contribute to the overall success of the 1 2 3 4
project?
3. Was I an essential component of the team? 1 2 3 4
4. Did I use my time constructively? 1 2 3 4
5. Did I help to contribute to the 1 2 3 4
planning of the project?
6. List what you did that helped to contribute to the overall success of the project
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
7. I think I could learn more if:
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