Interaction ( ) Teacher:_____________________ My name:_______________________

To students: Please fill in this form by yourself immediately after you have finished your 3:1 conversation session.

Self-evaluation

Date SA name Topic English House stamp My good points Points to improve

Sessio
n1

Sessio
n2
Student Assistant Feedback SA’s name_______________________
Please check the appropriate boxes in the table above. For each session, you should check three boxes.

Session 1

Attendance 3 Arrived on time 2 Slightly late 1 Very late

3 Participated to the best of their

Participation 2 Participated occasionally 1 Did not participate.
ability

3 Asked questions and tried to 2 Asked questions once or twice and 1 Did not try to continue the
Enthusiasm
continue the conversation. tried to continue the conversation conversation.

Session 2

Attendance 3 Arrived on time 2 Slightly late 1 Very late

3 Participated to the best of their

Participation 2 Participated occasionally 1 Did not participate.
ability

3 Asked questions and tried to 2 Asked questions once or twice and 1 Did not try to continue the
Enthusiasm
continue the conversation. tried to continue the conversation conversation.