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Peer Evaluation Form for Group Work

Your name : CARRAO, Jr. Samuel B.


Section & Group: BSN 1-D Group 4
Instructor: Joy Adrianne Alagon

Write the name of each of your group members in a separate column. For each person, indicate the extent to which you agree
with the statement, using a scale of 1-4 (1=strongly disagree; 2=disagree; 3=agree; 4=strongly agree). Total the numbers in
each column and divide by 6. For a member to be entitled to 100% of the group output grade, he/she must have at least 20. If
score is between 18-19, member will only get 75% of group output grade. A score of 17 and below will mean only 50% of
group output grade.

GROUP MEMBERS Evaluation Criteria TOTALS


(Surname, Initials of Attends Contributes Completes Prepares Demonstrates Contributes
First name and Middle group meaningfully group work in a a cooperative significantly
name) meetings to group assignments quality and to the
Ex: Poltic, N.V. regularly discussions. on time. manner: supportive success of
and attitude. the project.
arrives on
time.

1. CALARA, Adreanne 4 4 4 4 4 4 24
Kate M.
2. CAYTAP, Aira 4 4 4 4 4 4 24
Rasheed M.
3. COMISSING, Lerlyn 4 4 4 4 4 4 24
Jude T.
4. DAGDAGUI, Haniel 4 4 4 4 4 4 24
Joy
5. DAGWASI, Azalea 4 4 4 4 4 4 24
Nicolai B.
6.
7.
8.
9.
Adapted from a peer evaluation form developed at Johns Hopkins University (October, 2006)

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