Course Number and Title ____________________
Directions: Please carefully evaluate yourself in this course. Circle the number that best indicates your answer to each statement. DO NOT sign your name
| Never | Rarely | Sometimes | Usually | Always | ||
|---|---|---|---|---|---|---|
| 1. | I come to class on time | 1 | 2 | 3 | 4 | 5 | 
| 2. | I am prepared each day | 1 | 2 | 3 | 4 | 5 | 
| 3. | I turned in my homework on time | 1 | 2 | 3 | 4 | 5 | 
| 4. | I spoke up when called upon | 1 | 2 | 3 | 4 | 5 | 
| 5. | I asked questions in class | 1 | 2 | 3 | 4 | 5 | 
| 6. | I met with my instructor during office hours | 1 | 2 | 3 | 4 | 5 | 
| 7. | I paid attention in class | 1 | 2 | 3 | 4 | 5 | 
| 8. | I asked for clarification when needed | 1 | 2 | 3 | 4 | 5 | 
| 9. | I took the course seriously | 1 | 2 | 3 | 4 | 5 | 
| 10. | I tried my best | 1 | 2 | 3 | 4 | 5 | 
| 11. | My grade should be: | A | B | C | D | F |