MMMA-ACADFM-008 rev.

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Test Questionnaire
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MMMA-ACADFM-008 rev. 01
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Prepared by: Reviewed by: Approved by: Program: ME/MT

Moises Emmanuel Duque
Mercedes Manguerra
Assessor/Date
C/ENGR. Michael G. Delos Reyes/
Capt. Rudy J. Solatorio
Program Head/Date
Dr. Neopol L. Salvador, Ph.D.
Dean, Maritime Education/Date
S.Y/Term: 1st
Term Exam: Midterm
Course Title: Literatures
of the World
Course Code: GEM 5

QUESTIONNAIRE

Name FRYNZ M NASI Score

Course/Section MT-2A Date 10/02/23

BLACK OUT POETRY

Direction: Create a blackout poetry.

1. Scan the article that is going to be used in the shading.

2. Use black pen for shading.
3. Draw boxes over meaningful words, images, phrases, and ideas.
4. Draw an outline or arrows to create an image.
5. You may color it using different shades (optional)
6. Give a title to your blackout poetry.
7. Explain how each chosen word/s and image adds meaning to the final output. What message was
conveyed after creating the blackout poetry.

Examples:

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Write your Explanation here.

A truly plain care and friendship help families deal

with bereavement
A team to look after wellbeing.
The pattern plays in a number of ways

Know and think for a world with no end in sigh.

The act of kindness to such is beyond
More tragic it has 
More than before, were deeply affected by sudden death

read when one cease to vide much info

consider big or small
positive can heal the best of times. 
lone, doubt, the time from worries, to such a small matter.

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CRITERIA 4 3 2 1
RUBRIC
Exceeding Meeting Standard Approaching Below Standard in
Standards Standard grading
Content of Idea Very creative and creative and Somewhat Little to no
(25) thoughtful; thoughtful; creative; simplistic creativity; unclear
your
Insightful and purposeful message; and/or missing Blackout
purposeful message relevant relates to message; Poetry
message relevant to the literature; literature; unrelated to
to the literature; Consistent somewhat literature and/or
Consistent throughout the consistent provides
throughout the piece. throughout the inaccurate
piece piece. information about
the literature; little
to no consistency.
Word of Choice It is evident that A couple of words The poet uses Poem appears to
(25) the poet put or phrases may average words be thoughtless or
thought into be revisited, but that do not rushed. Work is
his/her words and the overall product enhance the very repetitive,
uniquely conveyed is carefully written; poem. Somewhat and ideas are
ideas and Adequate quantity acceptable unoriginal.
emotions; of selected words quantity of Inappropriate
Quantity of words to accomplish selected words to quantity of
skillfully task. accomplish task. included words.
accomplish task.
Cohesion and Superior cohesion Adequate Limited cohesion Significant issues
Coherence (connection/flow) cohesion and and/or coherence. with cohesion
(25) and superior adequate and/or coherence.
coherence (ease coherence.
of understanding)
Appearance Outstanding Adequate format Issues with format Significant issues
(Format/ format and and appearance; and/or with format and/or
Structure/ appearance; pleasant appearance; appearance; little
Artwork) superior aesthetics; somewhat visually to no visual
(25) aesthetics; Artwork directly appealing; appeal; Artwork
Artwork related to ideas. Artwork directly directly related to
insightfully Visually related to ideas. ideas; Artwork is
enhances ideas. appealing. Has Artwork related to unrelated and/or
Strong Visual visual appeal; literature. Has missing; little to no
appeal. Superior adequate quantity some visual visual appeal;
quantity of of visuals. appeal; limited quantity of visuals
images. quantity of visuals. insufficient.

MMMA-ACADFM-008 rev. 01