Stephanie Staller

800
SELF-MONITORING TOOL

GDPI

My Personal Goal:
Beginning Date:

Desired Date to Accomplish:

Why is this goal important to me?

Have I met one of two of the following forms of formative feedback?

1.) Have a colleague or administrator observe me (with a pre and post meeting)

2.) Ask students for feedback (via small group discussion, one-on-one interview, or
written response)
How did I incorporate the above formative assessment into my plan of accomplishing my goal?

What unforeseen challenges have I (if any) come across? What can I do?

What aspect of my plan may require some adjusting?

Have I met my goal of _______ in ________ (time period)? YesHow?

___________________________________
NoWhy? __________________________________
Who can I ask for advice and/or accountability if I need it?
Did I accomplish my goal by the date I set?

YES

NO

Rate the questions from 1 (low) to 5 (high)

Did using this process make my goal more achievable?
Did I give myself enough time to incorporate PBL?
Is the goal something I will maintain in future planning and
classes?

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

Stephanie Staller
800
SELF-MONITORING TOOL
How well did I manage my time?
Is this something I feel comfortable sharing with a PLC and
colleagues?

GDPI
1
1

2
2

3
3

4
4

5
5