Name:

Period:

Discussion Number (circle): 1

Socratic Circle Feedback Form

Role: Textual Evidence Tracker
When someone uses textual evidence, they are referring to a specific detail or event in the text to
support a claim they are making.
Group members are using textual evidence when they
refer to a specific event or detail from the text
read a quote from the text to the group
Name

Make a check mark each time someone uses textual

evidence

Overall rating for use of textual evidence on a scale of 1-10:

Name:

Period:

Discussion Number (circle): 1

Socratic Circle Feedback Form

Role: Body Language Watcher
We use our body language to show our interest in our groups discussion.
Positive Body Language:

sitting up straight and facing the circle

making eye contact with group members
while speaking or listening to them
listening attentively when someone is talking
nodding and smiling encouragingly when
someone is speaking

Positive Body Language

Write down the persons name and behavior
Example: Ms. Schwartzmade eye contact

Negative Body Language:

facing away from the circle

not making eye contact with group members
while speaking or listening to them
having side conversations with other group
members or with the outer circle
playing with a book or conversation prompt
card or doodling

Negative Body Language

Write down the persons name and behavior
Example: Ms. Schwartztossed book in the air

Overall rating for body language on a scale of 1-10:

Name:

Period:

Discussion Number (circle): 1

Socratic Circle Feedback Form

Role: Participation Tracker
Write down everyones name in the inner circle on the table below. Each time someone
contributes to the discussion, make a check mark next to his or her name.
Name

Tally how many times each person talks

Overall rating for participation of group members on a scale of 1-10:

Name:

Discussion Date:

Period:
Socratic Circle Feedback Form
Role: Discussion Highlights Collector
Inner Circle (circle one): 1 or 2

Your job is to collect the highlights of the discussion. Anytime someone says something that
makes you say, Wow! That was really smart thinking! or Thats so interesting. I hadnt thought of
it that way! record what was said and who said it below.
Discussion Highlights
(Summarize the comments that showed really smart thinking and that
took the conversation to a new level here.)

Overall rating for discussion content on a scale of 1-10:

Student who made the

comment

Name:

Period:

Discussion Number (circle): 1

Socratic Circle Feedback Form

Role: Conversation Continuer Tracker
Your job is to track how the group grows a conversation from one comment before moving on to
another topic or unrelated comment.
Group members are growing a conversation when they respond to a comment by saying
I agree or disagree with what you said because
What you said makes me wonder
Another example of that is when
Can you show us where you saw that in the text?
Name

Make a check mark each time someone uses a

conversation growing move

Overall rating for conversation growing on a scale of 1-10:

Name:

Discussion Date:

Period:
Socratic Circle Feedback Form
Role: Discussion Leadership Tracker
Inner Circle (circle one): 1 or 2

Your job is to track how group members make the discussion successful by encouraging others
to participate and solving any problems that come up.
Group members are acting as discussion leaders when they
ask another group member for their opinion or encourage quiet members to participate
bring the conversation back on topic or get the conversation going again after an awkward
silence
work to solve any problems that come up
Name

What did this person do to make the discussion

successful?

Overall rating for group leadership on a scale of 1-10: