Department of Family and Community Medicine

Cagayan Valley Medical Center

SELF AND PEER EVALUATION

Instructions: Honestly and fairly assess yourself and your colleagues using the criteria listed below.

Grading guide:
4 = Very strong work; contributed significantly to group
3 = Sufficient effort; contributed adequately to group
2 = Insufficient effort; met minimal standards of group
1 = Little or weak effort; was detrimental to group

*Note: if a criterion does not apply to your group, i.e. you did not have any formal online group
meeting, write N/A for all the group members.

CRITERIA Name: Groupmate 1: Groupmate 2: Groupmate 3:

______________ ______________ ______________ ______________
______________ ______________ ______________ ______________

Work Contributed ______________ ______________ ______________ ______________

Attends group
meeting regularly
and on time
Participates in
developing ideas
and contributes
meaningfully to
the discussion
Shows
willingness to
discuss the ideas
of others
Demonstrates a
cooperative and
supportive
attitude
Prepares work in
a quality manner
Completes
assigned task on
time
Shows interest
and enthusiasm
in doing the
assignment
TOTAL:
Adapted from: www.teaching.cornell.edu, www.jhu.edu
 Department of Family and Community Medicine
Cagayan Valley Medical Center

Self-Reflection:

1. What did you learn from the activity?

2. What do you think went well?

3. What would you have done differently, given the opportunity?

4. Do you have any other comments or suggestions about the assigned task?