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Confidential Peer Evaluation Form

Your Name Ann

Group relationship: In the diagram to the right, the circle represents your group. Place the letter M in the relative location where you feel you belong, and place the numbers 1-4 to represent where you feel your group members belong (use the list below for your numbers 1-4). In other words, the closer you feel to the center of the group's activity, the closer you should put yourself to the center of the circle. In someone is not participating in what your group does, they can be placed outside the circle.

Feedback Chart: In the following chart, each line describes a different characteristic of a group member. You are to fill in this chart with the number 0-5 from the table that best decribes how each member of your group rates in each of these characteristics.

Score Meaning

0 Never - Does not describe the group member

1 Rarely - Describes the group member only 10% of the time

2 Occasionally - Describes the group member only 20% of the time

3 Periodically - Describes the group member only 40% of the time

4 Frequently - Describes the group member 70% of the time

5 Always - Describes the group member all of the time

Item You Member #1 Member #2 Member #3 Member #4

Is prepared for class . . . . .

Listens to everyone's ideas . . . . .

Shares work load . . . . .

Values all member's contributions . . . . .

Helps us progress to a solution . . . . .

Has good ideas . . . . .

Keeps everyone on task . . . . .

Helps the group find mistakes . . . . .

Makes a postive contribution . . . . .

Attends class . . . . .

Score	Meaning
0	Never - Does not describe the group member
1	Rarely - Describes the group member only 10% of the time
2	Occasionally - Describes the group member only 20% of the time
3	Periodically - Describes the group member only 40% of the time
4	Frequently - Describes the group member 70% of the time
5	Always - Describes the group member all of the time

Item	You	Member #1	Member #2	Member #3	Member #4
Is prepared for class	.	.	.	.	.
Listens to everyone's ideas	.	.	.	.	.
Shares work load	.	.	.	.	.
Values all member's contributions	.	.	.	.	.
Helps us progress to a solution	.	.	.	.	.
Has good ideas	.	.	.	.	.
Keeps everyone on task	.	.	.	.	.
Helps the group find mistakes	.	.	.	.	.
Makes a postive contribution	.	.	.	.	.
Attends class	.	.	.	.	.