DATA/BIT TEAM

Student Self-Evaluation Form

Student:___________________________ Date:_____________ Grade:__________

Check the column that most closely is what you do. Remember, there are no right or wrong choices, so please mark what you really do.

Always Usually Sometimes Hardly Ever Never

Raise hand in class______________________________________________________________

Act up in line___________________________________________________________________

Arrive to class on time___________________________________________________________

Do what I’m told________________________________________________________________

Behave for a substitute___________________________________________________________

Talk in class____________________________________________________________________

Write on desks__________________________________________________________________

Write on chairs_________________________________________________________________

Lean back in chairs______________________________________________________________

Chew gum in class______________________________________________________________

Throw objects in class____________________________________________________________

Touch other students_____________________________________________________________

Take other’s things______________________________________________________________

Have all materials for class________________________________________________________

Help teacher when asked__________________________________________________________

Act politely____________________________________________________________________

Pay attention in class_____________________________________________________________

Clean up desk area______________________________________________________________

Accept extra duties in class________________________________________________________

Use restroom time properly________________________________________________________

Turn in found objects____________________________________________________________

Obey school rules_______________________________________________________________

Obey classroom rules____________________________________________________________

Copies work from others__________________________________________________________

Use abusive language____________________________________________________________

Destroys property_______________________________________________________________
Take responsibility for actions_____________________________________________________

Seek help if in difficulty______________________________________________________________________