SELF-ASSESSMENT                                  _____________________________________

COURSE:_______________                     NAME                                                   DATE

1.  Generally speaking, how satisfied/dissatisfied are you with your performance in this course?  Please offer reasons for your self-assessment.

2.  What percentage of individual class sessions have you attended?

____100%       _____75%       _____50%       _____25%       _____less than 25%

Please cite any extenuating factors that have influenced your attendance:

3.  How well have you kept up with reading and writing assignments?  Reasons? 

4.  How successfully have you participated in class discussions or offered responses to questions posed by the instructor?  Reasons?

5.  How well have you kept up with reading and writing assignments?  Have you completed the course work on the syllabus?

6.  If you assigned yourself a letter grade based on your work in this course, it would be: ______

Please explain your rationale for grade below: