‫ﺔ واﻟﺘﻌﻠ ﻢ ﻤﺤﺎﻓﻈﺔ ﻣﺴﻘﻂ‬ ‫اﻟﻤﺪﻳ ﺔ اﻟﻌﺎﻣﺔ ﻟﻠ‬

‫ﺑﻦ ﻧﺼ )‪( 10-12‬‬ ‫ﻣﺪرﺳﺔ ﻣﻮ‬

‫اﺳﺗﻣﺎرة اﻟﺗﻘرﯾر‬

‫اﺳﻢ اﻟﻄﺎﻟﺐ ‪:‬‬

‫اﻟﺼﻒ واﻟﺸﻌ ﺔ ‪:‬‬
 ‫}^{^‪.......................................................................... Shh‬‬

‫درﺟﺔ‬ ‫ﺣﺪد ﺳ ﺐ اﺧﺘ ﺎرك ﻟﻬﺬا اﻟﻤﻮﺿ ع؟ )ﻣﺪى أﻫﻤ ﺔ اﻟﻤﻮﺿ ع وارﺗ ﺎﻃﻪ ﺎﻟﻤﻨﻬﺞ(‬

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‫ﺼ ﻐﺔ اﻟﻔﻘﺮة أو اﻟﻨﻘﺎط ﻤﺎ ﻌﻜﺲ ﻣﺪى ﻓﻬﻤﻚ‬ ‫اﻟﺘﻘ ﺮ؟ ﻋ‬ ‫ﻣﻦ اﻷﻓ ﺎر اﻟﻤﺘﻀﻤﻨﺔ‬

‫درﺟﺔ‬ ‫ﻟﻠﻤﻮﺿ ع؟‬
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 ‫ﻣﺎ ﻣﺪى ﺻﺤﺔ اﻟﻤﻌﻠﻮﻣﺎت اﻟﻤﻘﺪﻣﺔ؟ ا ﺘﺐ اﻷﺳ ﺎب اﻟ ﺗﺆﻛﺪ ﺻﺤﺔ اﻟﻤﻌﻠﻮﻣﺎت اﻟ ﺣﺼﻠﺖ‬
‫درﺟﺔ‬ ‫ﻋﻠﻴﻬﺎ‬
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‫درﺟﺔ‬ ‫)ﺧﺎﺗﻤﺔ اﻟﺘﻘ ﺮ(‬ ‫اﻟﻤﻮﺿ ع ؟‬ ‫ﺄﺳﻠ ﻚ اﻟﺨﺎص ﻋﻦ رأ ﻚ‬ ‫ﻋ‬

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‫درﺟﺔ‬ ‫اﻋﺪاد ﺗﻘ ﺮك ؟‬ ‫ﺣﺪد اﻟﻤﺼﺎدر واﻟﻤﺮاﺟﻊ اﻟ اﻋﺘﻤﺪت ﻋﻠﻴﻬﺎ‬

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