Mohawk College

School of Health and Community Services

Peer Evaluation Form for Collaborative Work

Highlight your peer evaluation for each criterion on this rubric. Each member of your team must be
evaluated. If you select average or poor for any criteria, provide an explanation in the comments
section.

Team member #1:____Jessica Johnstone________________________________________________

Criteria Excellent Good Average Poor

Focus and Consistently stays Focuses on the task Focuses on the task Rarely focuses on
Participation focused on the task. most of the time. at certain times. the tasks. Allows
Very self-directed. Accountable Must be reminded others to do all the
Participates in all member of the team. to stay on task. work. Participates in
learning sessions. Participates in most Participates in some few or no learning
Always has a positive learning sessions. learning sessions. sessions. Often
attitude about the task Usually has a Occasionally critical negative and
and the work of positive attitude of the tasks or work publicly critical of
others. about the tasks and of others. the task or work of
work of others. others.
Communication Respectfully listens, Respectfully listens, Has some difficulty Has great difficulty
interacts, discusses, interacts, discusses, respectfully listening listening, argues
and poses questions and poses questions and tends to with teammates,
to all members of the to others during dominate and is unwilling to
team during discussion most of discussions. consider other
discussions and helps the time. opinions. Impedes
direct the group in group from reaching
reaching consensus. consensus.

Collaboration Consistently makes Usually makes Occasionally makes Rarely makes

necessary necessary compromises to compromises to
compromises to compromises to achieve a set goal. achieve set goals.
achieve set goals. achieve set goals. Sometimes keep Has difficulty getting
Encourages Encourages the group working along with other
teamwork, teamwork, well together. group members.
problem-solving, and problem-solving,
sharing of ideas. sharing of ideas
most times.
Team Role Performs all duties of Performs nearly all Performs a few Did not perform any
Fulfillment assigned team role duties of assigned duties of assigned duties of assigned
and contributed team role and team role and team role and did
knowledge, opinions contributed contributed a small not contribute
and skills to share knowledge, opinions, amount of knowledge, opinions
with the team. Always and skills to share knowledge, or skills to share
completes assigned with the team. opinions, and skills, with the team.
work. Completes most of to share with the Relied on others to
the assigned tasks. team. Completes do work.
some of the
assigned tasks.

Comments

Adapted from: University of Wisconsin. (2018, November). Collaborative rubric. https://www2.uwstout.edu/content/profdev/rubrics/secondaryteamworkrubric.html

 Mohawk College
School of Health and Community Services

Team member #2: Je Ah Kim____________________________________________________

Criteria Excellent Good Average Poor

Focus and Consistently stays Focuses on the task Focuses on the task Rarely focuses on
Participation focused on the task. most of the time. at certain times. the tasks. Allows
Very self-directed. Accountable Must be reminded others to do all the
Participates in all member of the team. to stay on task. work. Participates in
learning sessions. Participates in most Participates in some few or no learning
Always has a positive learning sessions. learning sessions. sessions. Often
attitude about the task Usually has a Occasionally critical negative and
and the work of positive attitude of the tasks or work publicly critical of
others. about the tasks and of others. the task or work of
work of others. others.
Communication Respectfully listens, Respectfully listens, Has some difficulty Has great difficulty
interacts, discusses, interacts, discusses, respectfully listening listening, argues
and poses questions and poses questions and tends to with teammates,
to all members of the to others during dominate and is unwilling to
team during discussion most of discussions. consider other
discussions and helps the time. opinions. Impedes
direct the group in group from reaching
reaching consensus. consensus.

Collaboration Consistently makes Usually makes Occasionally makes Rarely makes

necessary necessary compromises to compromises to
compromises to compromises to achieve a set goal. achieve set goals.
achieve set goals. achieve set goals. Sometimes keep Has difficulty getting
Encourages Encourages the group working along with other
teamwork, teamwork, well together. group members.
problem-solving, and problem-solving,
sharing of ideas. sharing of ideas
most times.
Team Role Performs all duties of Performs nearly all Performs a few Did not perform any
Fulfillment assigned team role duties of assigned duties of assigned duties of assigned
and contributed team role and team role and team role and did
knowledge, opinions contributed contributed a small not contribute
and skills to share knowledge, opinions, amount of knowledge, opinions
with the team. Always and skills to share knowledge, or skills to share
completes assigned with the team. opinions, and skills, with the team.
work. Completes most of to share with the Relied on others to
the assigned tasks. team. Completes do work.
some of the
assigned tasks.

Comments

Adapted from: University of Wisconsin. (2018, November). Collaborative rubric. https://www2.uwstout.edu/content/profdev/rubrics/secondaryteamworkrubric.html

 Mohawk College
School of Health and Community Services

Team member #3: Duc Thang

Nguyen____________________________________________________

Criteria Excellent Good Average Poor

Focus and Consistently stays Focuses on the task Focuses on the task Rarely focuses on
Participation focused on the task. most of the time. at certain times. the tasks. Allows
Very self-directed. Accountable Must be reminded others to do all the
Participates in all member of the team. to stay on task. work. Participates in
learning sessions. Participates in most Participates in some few or no learning
Always has a positive learning sessions. learning sessions. sessions. Often
attitude about the task Usually has a Occasionally critical negative and
and the work of positive attitude of the tasks or work publicly critical of
others. about the tasks and of others. the task or work of
work of others. others.
Communication Respectfully listens, Respectfully listens, Has some difficulty Has great difficulty
interacts, discusses, interacts, discusses, respectfully listening listening, argues
and poses questions and poses questions and tends to with teammates,
to all members of the to others during dominate and is unwilling to
team during discussion most of discussions. consider other
discussions and helps the time. opinions. Impedes
direct the group in group from reaching
reaching consensus. consensus.

Collaboration Consistently makes Usually makes Occasionally makes Rarely makes

necessary necessary compromises to compromises to
compromises to compromises to achieve a set goal. achieve set goals.
achieve set goals. achieve set goals. Sometimes keep Has difficulty getting
Encourages Encourages the group working along with other
teamwork, teamwork, well together. group members.
problem-solving, and problem-solving,
sharing of ideas. sharing of ideas
most times.
Team Role Performs all duties of Performs nearly all Performs a few Did not perform any
Fulfillment assigned team role duties of assigned duties of assigned duties of assigned
and contributed team role and team role and team role and did
knowledge, opinions contributed contributed a small not contribute
and skills to share knowledge, opinions, amount of knowledge, opinions
with the team. Always and skills to share knowledge, or skills to share
completes assigned with the team. opinions, and skills, with the team.
work. Completes most of to share with the Relied on others to
the assigned tasks. team. Completes do work.
some of the
assigned tasks.

Comments

Adapted from: University of Wisconsin. (2018, November). Collaborative rubric. https://www2.uwstout.edu/content/profdev/rubrics/secondaryteamworkrubric.html

 Mohawk College
School of Health and Community Services

Team member #4: Yingnan Zhai____________________________________________________

Criteria Excellent Good Average Poor

Focus and Consistently stays Focuses on the task Focuses on the task Rarely focuses on
Participation focused on the task. most of the time. at certain times. the tasks. Allows
Very self-directed. Accountable Must be reminded others to do all the
Participates in all member of the team. to stay on task. work. Participates in
learning sessions. Participates in most Participates in some few or no learning
Always has a positive learning sessions. learning sessions. sessions. Often
attitude about the task Usually has a Occasionally critical negative and
and the work of positive attitude of the tasks or work publicly critical of
others. about the tasks and of others. the task or work of
work of others. others.
Communication Respectfully listens, Respectfully listens, Has some difficulty Has great difficulty
interacts, discusses, interacts, discusses, respectfully listening listening, argues
and poses questions and poses questions and tends to with teammates,
to all members of the to others during dominate and is unwilling to
team during discussion most of discussions. consider other
discussions and helps the time. opinions. Impedes
direct the group in group from reaching
reaching consensus. consensus.

Collaboration Consistently makes Usually makes Occasionally makes Rarely makes

necessary necessary compromises to compromises to
compromises to compromises to achieve a set goal. achieve set goals.
achieve set goals. achieve set goals. Sometimes keep Has difficulty getting
Encourages Encourages the group working along with other
teamwork, teamwork, well together. group members.
problem-solving, and problem-solving,
sharing of ideas. sharing of ideas
most times.
Team Role Performs all duties of Performs nearly all Performs a few Did not perform any
Fulfillment assigned team role duties of assigned duties of assigned duties of assigned
and contributed team role and team role and team role and did
knowledge, opinions contributed contributed a small not contribute
and skills to share knowledge, opinions, amount of knowledge, opinions
with the team. Always and skills to share knowledge, or skills to share
completes assigned with the team. opinions, and skills, with the team.
work. Completes most of to share with the Relied on others to
the assigned tasks. team. Completes do work.
some of the
assigned tasks.

Comments

Adapted from: University of Wisconsin. (2018, November). Collaborative rubric. https://www2.uwstout.edu/content/profdev/rubrics/secondaryteamworkrubric.html

 Mohawk College
School of Health and Community Services

Adapted from: University of Wisconsin. (2018, November). Collaborative rubric. https://www2.uwstout.edu/content/profdev/rubrics/secondaryteamworkrubric.html