Self and Peer Evaluation Form
NAME: ______________________________________________________________________
The following is a list of statements to be answered for each of your group members. Think carefully
about assigning rating values for each. You will complete several peer evaluation forms over the course
of the next several weeks. Keep in mind that if you award high scores to everyone, regardless of their
contribution, team members who have worked unduly hard or provided extraordinary leadership will go
unrecognized, as will those at the other end of the scale who need your corrective feedback.
Write team
member names
on the lines!
Please use the following grading scale:
5 = Always; 4 = Most of the time; 3 = Sometimes; 2 = Rarely; 1 = Never
Team
Member 1:
Self
Has been
dependable in
attending group
meetings
Willingly accepts
assigned tasks
Contributes positively
to team discussions
Completes work on
time (or makes
alternative
arrangements)
Completes work
accurately and
completely
Contributes a fair
share to the team’s
work
Works well with team
members
Communicates
clearly with the team
Overall is a valuable
member of the team
Team
Member 2:
Team
Member 3:
Team
Member 4:
Do you need instructor intervention? Check one of the following:
 Yes, I would like to request instructor intervention.
 No, I would not like to request instructor intervention.
What progress has your team made so far (which milestones has your team already completed)?
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What are your plans for working on your project in the next two weeks (which milestones will your team
complete)?
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Which obstacles is your team facing or do you anticipate that your team will face (including technical
challenges, motivating members of your team, etc.)?
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Any other comments you’d like to share?
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