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SCORING INDEX

Circle the number that represents the category you checked on each item of the Self-Evaluation.
(4-highest) (1-lowest)

MOST OF THE FREQUENTLY OCCASIONALLY ALMOST NEVER MOST OF THE FREQUENTLY OCCASSIONALY ALMOST NEVER
TIME TIME

1. 1 2 3 4 16. 4 3 2 1

2. 1 2 3 4 17. 4 3 2 1

3. 1 2 3 4 18. 1 2 3 4

4. 4 3 2 1 19. 4 3 2 1

5. 4 3 2 1 20. 4 3 2 1

6. 4 3 2 1 21. 4 3 2 1

7. 4 3 2 1 22. 4 3 2 1

8. 1 2 3 4 23. 1 2 3 4

9. 1 2 3 4 24. 4 3 2 1

10. 1 2 3 4 25. 4 3 2 1

11. 4 3 2 1 26. 4 3 2 1

12. 4 3 2 1 27. 4 3 2 1

13. 1 2 3 4 28. 1 2 3 4

14. 4 3 2 1 29. 4 3 2 1

15. 4 3 2 1 30. 4 3 2 1

Total the scores in each column.


Most of Time Frequently Occasionally Almost Never TOTAL
___33______ + ____38___ + ___37_____ + __36______ = _150_

SCORING: 110-120 Superior ____________ 88-98 Average ___________


(Congratulation!) (You are doing o.k. but keep moving!)
99-109 above average ___________ 77-87 Fair ____________
(Very Good, keep it up!) (Well, do not lose hope, strive more!)

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