1. Student Name: Date of Assessment:
Assignment/Topic/Project:
Question to Ask Response
What do you see?
*physical features of the
assignment*
What task is this student
trying to accomplish?
*student’s purpose*
What does this student
know how to do?
*elements in project that
the student has grasped*
What does this student
seem on the verge of
understanding?
*elements in project that
the student tried*
What are the implications
for teaching this student?
*what can be taught to
help this student become
more effective*
Comments: