Student's Name:_______________________________________________
| Positive Attributes | |||||
| (1) Enters into class discussions | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (2) Offers questions or comments during class | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (3) Visits at podium after class | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (4) Visits during office hours to clarify ideas | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (5) Engages in the electronic learning forum | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (6) Offers questions or comments via e-mail | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| Negative Attributes | |||||
| (7) Skips class | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (8) Shows up late | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (9) Sleeps in class | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |
| (10) Exhibits disruptive behavior | ALMOST ALWAYS | FREQUENTLY | OCCASIONALLY | SELDOM | ALMOST NEVER |