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Unit 10: Busy Lives Self-evaluation form 
Action = Progress 
No action = No progress 
The following self-evaluation form was designed to help you MONITOR and REFLECT on your learning process. Check the 
boxes [ √ ] and write briefly your action plan (use the back of the page if you have to). 
I. Book content 
Excellent : Very Good: Below: 
I can…    
1. …use the simple past of regular and irregular verbs spontaneously.    
2. …talk about things you did in the past    
3. …use expressions like Congratulations and Good luck.    
4. …say You did? To show that you’re interested or surprised    
My area(s) for progress Check [ ]: 1.  2.  3.  4.  5.  6.  
My action plan: 1. ______________________________ 2. _______________________________ 
II. Reflection about my progress in this unit: 
Excellent : Very Good: Below: 
I. Strategies:    
1. … I make eye contact and gestures during conversations.    
2. … I react in different ways and ask follow-up questions.    
3. … I expand my answers spontaneously (personalize).    
4. … I combine new expressions with old expressions.    
6. … I use a highlighter in my book and workbook.    
7. ... I don’t speak Spanish in class.    
8. … I’m reading a short story from the Colombo’s library    
9. … I practice the phonetic symbols    
10… I have a dictionary and use it everyday in class    
My area(s) for progress - Check [ ]: 1.  2.  3.  4.  5.  6.  7.  8.  9.  10. 11. 12. 
My action plan: 1. ______________________________ 2. _______________________________ 
III. Self-study (out of class) 
Objective: - To help you reflect and evaluate your progress 
Instructions: - Write the number in the appropriate box to describe how well you - and your partner(s) - do on the following items. 
- Use the following grading scale: {total possible points: 50) 
9-10: EXCELLENT 
(Always) 
7-8: VERY GOOD 
(Almost always) 
5-6: OK but INSUFFICIENT 
(Sometimes) 
2-4: TERRIBLE 
(Rarely) 
Assessment Points 
1. I prepare class every day [ class preparation ] 
2. I work on my workbook every day [ cambridgelsm.org ] 
3. I visit the community for autonomous progress [ significantprogress.wordpress.com ] 
4. I actively use my notebook every day in class and at home 
5. I work on the unit task every day 
6. I use this form to evaluate my progress daily 
My area(s) for progress - Check [ ]: 
1.  2.  3.  4.  5.  6.  
My action plan for significant progress: a. ______________________________ b. _______________________________ 
Print it and keep it in your portfolio. Please, bring it in lesson D.

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BS3 / U10 - Self-assessment Form

  • 1. Unit 10: Busy Lives Self-evaluation form Action = Progress No action = No progress The following self-evaluation form was designed to help you MONITOR and REFLECT on your learning process. Check the boxes [ √ ] and write briefly your action plan (use the back of the page if you have to). I. Book content Excellent : Very Good: Below: I can…    1. …use the simple past of regular and irregular verbs spontaneously.    2. …talk about things you did in the past    3. …use expressions like Congratulations and Good luck.    4. …say You did? To show that you’re interested or surprised    My area(s) for progress Check [ ]: 1.  2.  3.  4.  5.  6.  My action plan: 1. ______________________________ 2. _______________________________ II. Reflection about my progress in this unit: Excellent : Very Good: Below: I. Strategies:    1. … I make eye contact and gestures during conversations.    2. … I react in different ways and ask follow-up questions.    3. … I expand my answers spontaneously (personalize).    4. … I combine new expressions with old expressions.    6. … I use a highlighter in my book and workbook.    7. ... I don’t speak Spanish in class.    8. … I’m reading a short story from the Colombo’s library    9. … I practice the phonetic symbols    10… I have a dictionary and use it everyday in class    My area(s) for progress - Check [ ]: 1.  2.  3.  4.  5.  6.  7.  8.  9.  10. 11. 12. My action plan: 1. ______________________________ 2. _______________________________ III. Self-study (out of class) Objective: - To help you reflect and evaluate your progress Instructions: - Write the number in the appropriate box to describe how well you - and your partner(s) - do on the following items. - Use the following grading scale: {total possible points: 50) 9-10: EXCELLENT (Always) 7-8: VERY GOOD (Almost always) 5-6: OK but INSUFFICIENT (Sometimes) 2-4: TERRIBLE (Rarely) Assessment Points 1. I prepare class every day [ class preparation ] 2. I work on my workbook every day [ cambridgelsm.org ] 3. I visit the community for autonomous progress [ significantprogress.wordpress.com ] 4. I actively use my notebook every day in class and at home 5. I work on the unit task every day 6. I use this form to evaluate my progress daily My area(s) for progress - Check [ ]: 1.  2.  3.  4.  5.  6.  My action plan for significant progress: a. ______________________________ b. _______________________________ Print it and keep it in your portfolio. Please, bring it in lesson D.