# Student self-assessment · blank sheet

Assignment: __________

Work/version reference: __________

Criteria already explained in class: __________

For each criterion:
- Criterion: __________
- My judgment (I can show this / Not yet / I need help deciding): __________
- Evidence I can point to (quotation/feature and location): __________
- Question or proposed change: __________

One next revision I will try: __________

Help I want: __________

Teacher response, if supplied: __________

Revised work and what I can now point to: __________