COMMUNITY FEEDBACK FORM
MPU 3423 : KETERLIBATAN KOMUNITI
Group : …………………………….. Date/Venue : ………………………………
Project : …………………………….. Agency/Organization : ……………………………...
CRITERIA 5 4 3 2 1 SCORE
Students complete a With assistance, students With assistance, students
clear and logical are able to sequence have difficulty sequencing
GROUP sequence of steps. steps. Rush to complete steps. Task is not
STRUCTURE AND Complete task with task. Division of tasks and completed on time.
form and reflection and responsibilities if inefficient
FUNCTIONING
revision. Members and wastes time
volunteer to take
responsibilities and
roles.
ON TASK
BEHAVIOR Students exhibit on-task Students exhibit on-task Students exhibit on-task
behavior consistently behavior some of the time behavior inconsistently
Students consistently Some students contribute Students do not contribute
CONTRIBUTING contribute in a positive positively to the group in any positive way to the
way to the group work work. group work.
The team worked well The team worked well Team did not collaborate
together to achieve together most of the time, or communicate well.
objectives. Each with only a few Some members would
member occurrences of work independently,
TEAMWORK contributed in a valuable communication without regard to
way to the project. breakdown or failure to objectives or priorities. A
collaborate when lack of respect and regard
appropriate. Members was frequently noted.
were mostly respectful of
each other
TOTAL SCORE
COMMENT/FEEDBACK
SUGESSTION
APPROVED BY
Signature ……………………………………
Name ( )
Organization
Date :