COLLEGE OF OUR LADY OF MT CARMEL

DEPARTMENT OF NURSING AND MIDWIFERY

NCM 104 RLE: COMMUNITY HEALTH NURSING 1

STUDENT’S SELF EVALUATION FORM

LEGEND:
5- OUTSTANDING
3- ACCEPTABLE
1- NEEDS IMPROVEMENT

STUDENT
NAME AND
SCORES
Criteria Excellent (5) Acceptable (3) Needs Improvement (1)

Complete Complete evaluation Not all aspects of the topic

evaluation of the of the topic is done at were completed. Level of
Completeness
topic is done at an a level appropriate to evaluation is inappropriate to
advanced level the course the course
The output was The output was
The output was after the
Punctuality submitted prior the submitted on the
deadline
set deadline deadline
Some concepts are
Concepts are well Poor, incomplete
Clarity of unclear or
explained and explanation for several
Explanation incompletely
easily understood concepts
explained
Fact sheet is
Fact sheet is visually Visual appeal could be
visually appealing
appealing improved with the addition
Visual Relevant diagrams
Some relevant of diagrams and/or pictures
Appearance and/or pictures are
diagrams are placed in or of proper use of
well placed and
the fact sheet formatting
well explained

TOTAL SCORE (20 POINTS)