Learning & Writing Center

Supplemental Instruction Program

SI LEADER SELF-EVALUATION FORM
SI Leader: ____________________________ Course:_______________ Date: __________________

Complete this part by checking all the boxes that represent features of SI that you regularly use within SI
sessions for a specific range of time.

Iowa State University

Learning & Writing Center
Supplemental Instruction Program

SI LEADER SELF-EVALUATION FORM

1- What are your general feelings about the session today and why?



2- To what extent did the students manage to achieve the lesson aims?



3- To what extent were your own self-training aims achieved?



4- Look back at the plan. With hindsight, what did you learn from the lesson, and what
would you change if you used it again?


5- What do you think went well during this session and why?


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Fill this part during feedback session with your supervisor
Action Points:
1) ______________________________________________________________________

2) ______________________________________________________________________