Lab and class participation · What experiences or information did you share related to the topic of discussion? · While in 121 I shared about how staffing at my job calls me in to work and I fail to say no however tired I am while we were talking about assertiveness. · I also formulated a scenario about assertiveness in 131 and I was able to do a role play about it. · Did I ask appropriate questions/ seek clarification of content? · I usually ask for clarification especially in 131, because I have questions about how I would apply certain behaviors learned while in practice. Sometimes I will give Anna a scenario and ask her how I would respond to that case appropriately using the material learned in class. For example, assertiveness, avoidance, and even collaboration. · I also ask so many questions relating to the topic in 121. Work or sub-group activities · How did I facilitate outcomes in the small(sub-group) discussion? · I facility outcomes in small groups by sharing my experiences and thoughts with the group. For example, while talking about high and low context groups I shared about my culture since I come from a high context culture. I my culture, while communicating we value interpersonal relationships. · What new task or maintenance roles did I try in the small group sessions? (see Arnold and Boggs for list of roles) include at least three roles. · How did I provide feedback to other members of the group? · My main goal is to leave the recipient open to taking a new direction while giving feedback. So with that said I will give at least as much positive feedback as I do negative. For example, after role playing I focus on telling the person what they could have done to make the situation better as opposed to focusing on criticizing what they did wrong. · Which areas do I need to improve? Leadership/ Evaluation activities · Discuss the 1-2 major things I learned about myself and working with groups related to: · Oral presentation- · I learned that I so collaborative, because while working with my group to put together the slide, I came across good articles and sent them to the group so that way we could all work together and be on the same page after putting together the slides. · Peer evaluation oral presentation- · Through peer evaluation I was able to learn that I can actually learn from the success and mistakes of my peers. · Group process in lab (131)- · I learned that I able to give meaningful feedback to the class or my peers about how our day went as class, what we learned about and what helped us learned better or what blocked our learning process and so on. Self-awareness · My attitude in relation to the course/discussion/peers/ and how it changed (if it did). · My attitude in relation to the course have been positive and has not changed at all through out the quarter. · Give an example of when a value or perception different than your own was challenging to accept · The fact that in the Western cultures ...

1. Lab and class participation
· What experiences or information did you share related to the
topic of discussion?
· While in 121 I shared about how staffing at my job calls me in
to work and I fail to say no however tired I am while we were
talking about assertiveness.
· I also formulated a scenario about assertiveness in 131 and I
was able to do a role play about it.
· Did I ask appropriate questions/ seek clarification of content?
· I usually ask for clarification especially in 131, because I have
questions about how I would apply certain behaviors learned
while in practice. Sometimes I will give Anna a scenario and
ask her how I would respond to that case appropriately using the
material learned in class. For example, assertiveness, avoidance,
and even collaboration.
· I also ask so many questions relating to the topic in 121.
Work or sub-group activities
· How did I facilitate outcomes in the small(sub-group)
discussion?
· I facility outcomes in small groups by sharing my experiences
and thoughts with the group. For example, while talking about
high and low context groups I shared about my culture since I
come from a high context culture. I my culture, while
communicating we value interpersonal relationships.
· What new task or maintenance roles did I try in the small
group sessions? (see Arnold and Boggs for list of roles) include
at least three roles.
· How did I provide feedback to other members of the group?
· My main goal is to leave the recipient open to taking a new
direction while giving feedback. So with that said I will give at
least as much positive feedback as I do negative. For example,
after role playing I focus on telling the person what they could
have done to make the situation better as opposed to focusing
on criticizing what they did wrong.

2. · Which areas do I need to improve?
Leadership/ Evaluation activities
· Discuss the 1-2 major things I learned about myself and
working with groups related to:
· Oral presentation-
· I learned that I so collaborative, because while working with
my group to put together the slide, I came across good articles
and sent them to the group so that way we could all work
together and be on the same page after putting together the
slides.
· Peer evaluation oral presentation-
· Through peer evaluation I was able to learn that I can actually
learn from the success and mistakes of my peers.
· Group process in lab (131)-
· I learned that I able to give meaningful feedback to the class
or my peers about how our day went as class, what we learned
about and what helped us learned better or what blocked our
learning process and so on.
Self-awareness
· My attitude in relation to the course/discussion/peers/ and how
it changed (if it did).
· My attitude in relation to the course have been positive and
has not changed at all through out the quarter.
· Give an example of when a value or perception different than
your own was challenging to accept
· The fact that in the Western cultures they have low context
cultures it was a bit challenging for me to accept because the
information communicated is in a direct manner and relies
mainly on words as opposed to my high context culture where
we relay on contextual elements such as the speaker`s tone of
voice and body language while communicating information.
· What is my communication style? My strengths? Areas
needing improvement?
· I have previously been using a passive communication style,
but recently I have been able to adapt the assertive
communication style. And my strengths include; being honest,

3. and I also have a very caring personality.
· How do my personality traits impact my communication style/
interpersonal relationships?
· I am generally patient so I take time to listen during
communication.
· I am confident while speaking to people so I make appropriate
eye contact.
· How have I applied theory concepts learned in this class in my
personal relationships?
· I have been able to be assertive with both my family and
friends after learning about assertiveness
· What impact does my culture/ethnic background have on my
communication?
· Give two examples of peer feedback you have given in
communication lab
· I have acknowledged my peers good job during role pays.
· I have said “good job” to students that normally don’t speak a
lot in class, when they participate and those that ask good
questions.
· A communication goal for second quarter
· My communication goal fro second quarter is speaking up in
meetings. I enjoy participating but I tend to speak very softly.
NURS 121 Communication Theory 16
Winter 2017
Self-Evaluation Paper Guidelines

4. Purpose: the student will write a formal paper focusing on
evaluation of own learning
experience(s) and performance in theory and lab (121 & 131).
Requirements for the paper:
1. APA format.
2. Paper should be no longer than 4 typed pages (not including
title page). One point will
be deducted for each additional page.
3. Briefly discuss each of the focus areas listed on the grading
form. A specific example is
expected for each focus area.
4. On a scale of 1-3 (values identified below), write the number
you believe represents
how well you did in each focus area under “Student (self)” and
submit an electronic
copy of this form with your paper on Canvas.
5. Due date: Second to last day of classes – see Canvas for date
(theory).
6. Submit an electronic version of your paper to Canvas
(Assignments; Self-Evaluation
Paper) with a copy of this document including your self-scoring
as indicated above.
Maximum number of points: 10
These points will be added to your grade after the testing grades
are computed, indicating you
have at least 75% (2.0) on testing grades.

5. (Self) Scoring of points: 3 = excellent 2 = average 1 = below
average or poor
Focus area
Student
(self)
Points
Possible
Lab (and class) participation
What experiences / information did I share related to the topic
of discussion?
Did I ask appropriate questions/ seek clarification of content?
Work (sub-group) group activities:
How did I facilitate outcomes in the small (sub-group)
discussions?
What ‘new’ task and maintenance roles did I try in the small
group sessions?
(see Arnold & Boggs for list of roles) Include at least 3 roles.
How did I provide feedback to other members of the group?
Which areas do I need to improve?

6. 2
Leadership / Evaluation activities:
Discuss the 1-2 major things I learned about myself and
working with groups related
to:
1. Oral presentation
2. Peer evaluation oral presentation
3. Group process in lab (131)
2
Self-awareness:
5
NURS 121 Communication Theory 17
Winter 2017
Focus area
Student
(self)

7. Points
Possible
My attitude in relation to the course/ discussion/ peers and how
it changed (if it
did).
Give an example of when a value or perception different
than your own was
challenging to accept.
What is my communication style? My strengths? Areas
needing improvement?
How do my personality traits impact my communication style/
interpersonal
relationships?
How have I applied theory concepts learned in this class in my
personal
relationships
What impact does my culture/ ethnicity/ background have on
my communication?
Give two examples of peer feedback you have given in
communication lab.
A communication goal for second quarter is:
Format (do not need to write to this area)
Did I include an introduction for the paper?
Did I use correct spelling, complete sentences, and paragraphs?
Is there a conclusion, summary included in the paper?
Is the paper presented in APA format?

8. 1
Student name_____________________
Date________________
Comments:
Instructor__________________________________________Dat
e_________Total points________ /10