Template for self assessment - Professional Communication 3
1. ASDoherty PC-3, Participation Self-Assessment May 2015
Professional Communication -3
ParticipationSelf-Assessment
Class # 201509 Name: Dave Jay S. Manriquez
Frequently Occasionally Seldom Almost never
Mark 4 3 2 1
Criteria Qualify your mark WITH Examples and Comments
Does pre-reading and
comes to class prepared 4 Every night prior to a Professional Communication Class, I
make sure that I already read the slides that are posted in
Moodle for a particular class, so that I will know what will be
the topic and I can participate during the discussion.
Attends class and is
punctual 4 I do not have any absences. I have one late during the first
class for the reason that I met my doctor on that day.
Contributes thoughts,
ideas, examples in
classroom discussion,
group work, role plays
4 I always participate in class. I always do raise my hands to
give example and ask questions. I also participate during
class activities such as role plays, clickers, and group works.
Gives constructive
feedback to peers in role
play and group activities
4 Yes, I did give a constructive feedback to my classmate in a
role play when we have the mental health class and SBAR.
Engages in role play,
group work, pair-share
with various classmates
not just table mate.
4 I always participate in group activities, for example, when we
did a case study on a mentally ill patient. I also participate in
role plays when we have the mental health class and
communication to children. I portray as a nurse in our group
mini documentary assignment.
2. ASDoherty PC-3, Participation Self-Assessment May 2015
Listens and reflects on
feedback received from
peers and instructor
4 Yes, I did listen to one feedback given by my classmate when
we have our role play by peers on mental health class.
Adheres to and
promotes others to
follow the classroom
agreement
4 Yes, I always adheres to the classroom rules and policy that
was established by our class. Like, I do respect if someone is
already talking. I always raise my hand if I want to answer. I
do not talk to my neighbors during class. I am also telling my
classmates to listen and be quiet.
Uses language
appropriate in the
classroom, respectful of
others, speaks English
4 Inside the room I always speak in English. I always do
observe and be mindful that when I speak my native tongue
that there are people who cannot understand and might get
offended.
Exhibits and practices
active listening skills,
clarifying, validating,
paraphrasing etc during
discussions, group work,
role plays
4 I am always attentive and participate in class discussion. I
always have opinion and sometimes I share it in the class. If I
do not understand something from what is being discussed I
always clarify by asking questions.
Shares classroom
‘airtime’, encourages
other students to
contribute
4 If someone is already talking, I kept quiet and wait for my
turn to participate. I always raise my hand if I want to
participate.
Total 40 / 40 40