Learning Skills Self-Assessment Form

Name: ______Date: ______

Legend:

E: Excellent

G: Good

S: Satisfactory

N: Needs Improvement

Responsibility / E / G / S / N
I complete my work during class time.
I follow class routines and expectations by acting appropriately in class.
I read at home for 20 minutes every day.
Organization / E / G / S / N
I come to class with pencils, erasers and agenda
I show my agenda to my parents every day
I use my time at school wisely.
My desk and book box are neat so that I can easily find my work.
Independent Work / E / G / S / N
I use class time wisely and stay focused during work times.
I use teachers’ suggestions to make my work better.
I follow directions on my own and try to do my work myself before asking for help.
I don’t disturb others.
Collaboration / E / G / S / N
I complete my share of work when working with a group.
I listen to the ideas of others and am respectful towards the people in my group.
I treat everyone with respect (in and out of class).
I work well with others to solve problems.
Initiative / E / G / S / N
I participate on a daily basis in most activities.
I respond to challenges and take risks when I learn.
I start new tasks with a positive attitude.
I stand up for others when they are being mistreated.
Self-Regulation / E / G / S / N
I think about what I’m good at and what I should work on.
I set goals to improve my work and then work on following them.
I ask questions and look for extra help when I don’t understand.
I keep trying, even when work is challenging or difficult.
  1. Reflect on (think about) the marks you have given yourself.

a)What do you see as your greatest strength?

______

b)What do you need to improve?

______

2.What is one goal that you need to work in order to be the most successful? How are you going to reach your goal?

Goal / Action Plan