Salamanes Peer Evaluation Form

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Davao Doctors College, Inc.

Nursing Program
Peer Evaluation Form

Intructions: Rate your groupmates from 1 (needs improvement) to 3 (excellent). See LEGEND for reference on rating.

STAYING ON SHARING THE


MEMBERS INVOLVEMENT RESPECT TASK ATTITUDE WORKLOAD

1 MANGANSAKAN, BAI SHANNA IRYNA 3 3 3 3 3


2 MARAINGAN, KEISHA MAE 3 3 3 3 3
3 MATUGAS, RITCHIE MAY 3 3 3 3 3
4 MEDIANO, KRIZZA LOREN 3 3 3 3 3
5 NASA, NORHAINIE 3 3 3 3 3
6 ORTEGA, RHIA MAE 3 3 3 3 3
7 PAKER, BONNA 3 3 3 3 3
8 PAPICA, ISAAC 3 3 3 3 3
9 PATHAY, ANTONIETTE JANE 3 3 3 3 3
10 SALAMANES, D-JAY
11 SALAZAR, MONICA 3 3 3 3 3

Rated by: Year/Section: 13-I


SALAMANES, D-JAY A Group No: 61&62
Signature over Printed Name Week: 12
Concept: CLL
Inclusive Dates: Oct 20-22
Sir Paul Lumiguid,
CI: RN, MAN,PHD, CAND
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2
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ng.

TOTAL %

15 100
15 100
15 100
15 100
15 100
15 100
15 100
15 100
15 100
0
15 100

HD, CAND
LEGEND
1
Needs Improvement

Minimally involved in the work;


Involvement submitted own work not actively
involved

Ignored and respected other group


Respect member’s opinion

Did not submit own contribution to


the project or required to be given
Staying on Task multiple reminders to participate in
task; submitted work needs to be
improved

Displayed a negative attitude about


Attitude the assignment and working with
group members

Agrees to the decision of the group


but has not made any comment or
recommendation for the
Sharing the Workload completion of the assignment;
completed and submitted the task
assigned.
LEGEND
2 3
Acceptable Excellent
Involved in the work and contributed
Extremely involved in the work; took
to review of the overall output by
a leadership role and made
giving comments and
significant contributions
recommendations

Responded to other group members Actively sought group members’


opinion, accepted them and made opinion and ensured that input was
modifications or agreed to incorporated into project; gave
modifications based on the group positive feedback and or
opinions encouragement

Complied with task deadline; did or Complied with task deadline and
did not request for input from group produced an excellent output;
members; submitted work needs to worked collaboratively with other
be improved group members

Displayed a positive attitude about


Displayed a compliant attitude about the assignment and working with
the assignment and working with other group member; fostered
other group members communication and completion of
task

Completed own task prior to deadline Contributed to the overall output


and assisted in reviewing the
and submitted it to the group; may
assignment; shared in the
have the curiosity reviewed the
development of the presentation
overall presentation; participates in
with others made helpful comments
planning for the completion of
towards the completion of the
assignment.
assignment

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