Instructional Delivery Self-Assessment

Name: Date:

For each component below, indicate whether you think the component was executed well,
needs improvement, or was not present in your teaching by placing an “X” in the appropriate
column. Below each section, write a reflection of your teaching explaining the ratings you gave
yourself (as indicated in the table). Don’t just say you think you executed the component well
or that it needs improvement or that it wasn’t present in the lesson– describe what
happened in the lesson that makes you feel that way. Also, specify at least one component
you plan to improve upon in your next teaching episode (the reflection may extend beyond
this page).

Verbal Emerging Developing Proficient

Communication
Clearly projected speaking voice
Directions are clear and concise
Demonstrated appropriate language skills
Comments (please explain your ratings for each item above):

Non-verbal Emerging Developing Proficient

Communication
Maintained eye contact with students
Used facial expression appropriately
Demonstrated poise and confidence
Energetic and enthusiastic
Classroom proximity is used effectively to
interact with students
Comments (please explain your ratings for each item above):