Name & Period: ________________________________

English # ____
Date: ________________________________

INDIVIDUAL STUDY CHECKLIST

Use these pages to help stay on track. In Stage 1, figure out a SMART Goal for this lesson/unit.
In Stages 2-4, keep up with the deadlines in class and with your group. In Stages 5-6, think back
at how you did throughout the lesson/unit. Give yourself a rating of 1-5 for sections in stages 2-
6. Score your overall grade at the end.

Stage 1: Setting a SMART Goal

Fill in the empty boxes with answers to the questions in the middle boxes.

What exactly do I want to

S = Specific happen? Who? What? Where?
When? Why?

I will know I have reached my

goal when How will I
M = Measurable
measure progress? How many?
How much?

With hard work, is it possible

to reach this goal by the
A = Attainable deadline? Can this really
happen? What steps are
involved?

My goal is important enough

for me to put a plan into
R = Relevant action. I will follow this
specific plan to reach my
goal

I will reach my goal by Can

T = Timely I set fixed deadlines? What are
the deadlines?
 Name & Period: ________________________________
English # ____
Date: ________________________________
Rate yourself according to the following scale:

1=I didnt do this at all 2=I need a lot of help with this 3=I did ok with this
4=I did well with this 5=I did outstanding with this

Stage 2: Developing a Plan

I picked a subject in which Im really interested ...................................................... ____
I thought of lots of questions and points to research ................................................ ____
I knew how I wanted to present my information ...................................................... ____
Deadlines (put the date in the provided space)
____ List of Features of Effective Essays ................................................................. ____
____ List of at Least 6 Itches to Scratch in Favorite Order ...................................... ____
____ Turn Itches to Scratch into Questions or Statements ....................................... ____
____ Choose Group Activities .................................................................................. ____
____ Join Google Classrooms .................................................................................. ____
____ Set Up Google Docs/Slides/Sheets .................................................................. ____
____ Other ______________________________________________ ................... ____
STAGE 2 TOTAL ....................................................................................................... ____/50

Stage 3: Researching the Topic

I found at least ten sources of information on my topic ........................................... ____
I read a lot of information about my topic ................................................................ ____
I took lots of notes on my topic ................................................................................ ____
I gathered real data (surveys, interviews, experiments, etc.) .................................... ____
I developed many ideas for writing the essay ........................................................... ____
I learned a lot about my topic ................................................................................... ____
I evaluated the credibility of my sources .................................................................. ____
Deadlines (put the date in the provided space)
____ Tick Marks for Types of Sources ..................................................................... ____
____ Define the Topic .............................................................................................. ____
____ Turn in at Least 10 Sources of Information with Source Cards ...................... ____
____ Other ______________________________________________ ................... ____
STAGE 3 TOTAL ....................................................................................................... ____/55

Stage 4: Presenting the Information

I organized my information well for the presentation .............................................. ____
My final product is well written ................................................................................ ____
My final product is neatly done ................................................................................ ____
My presentation shares well what I learned .............................................................. ____
My presentation is creatively done ........................................................................... ____
My resources page is written correctly ..................................................................... ____
I did all of the requirements for the assignments ...................................................... ____
 Name & Period: ________________________________
English # ____
Date: ________________________________
Deadlines (put the date in the provided space)
____ Outline for Presentation ................................................................................... ____
____ Chose Essay Organization ............................................................................... ____
____ Wrote Two Leads ............................................................................................. ____
____ Wrote Two Conclusions .................................................................................. ____
____ Essay ................................................................................................................ ____
____ Group Presentation ........................................................................................... ____
____ Group Project ................................................................................................... ____
____ Individual Study Checklist ............................................................................... ____
____ Other ______________________________________________ ................... ____
STAGE 4 TOTAL ....................................................................................................... ____/80

Stage 5: Analyzing Time Management

I paced my activities responsibly (nothing last minute) ........................................... ____
I used my time in class well ...................................................................................... ____
I used my time at home well ..................................................................................... ____
I had realistic goals for the time available ................................................................ ____
I met the terms of my SMART goal(s) ..................................................................... ____
STAGE 5 TOTAL ....................................................................................................... ____/25

Stage 6: Evaluating Work Habits

I worked well independently ..................................................................................... ____
I worked well in a group ........................................................................................... ____
I knew what needed to be done and did not wait to be told ...................................... ____
I put forth my best effort ........................................................................................... ____
STAGE 6 TOTAL ....................................................................................................... ____/20

Total for Stage 2 ........................................................................................................ ____/50

Total for Stage 3 ........................................................................................................ ____/55
Total for Stage 4 ........................................................................................................ ____/80
Total for Stage 5 ........................................................................................................ ____/25
Total for Stage 6 ........................................................................................................ ____/20

OVERALL TOTAL ................................................................................................ ____

/230
207-230 = A = I Did Outstanding with This
184-206 = B = I Did Well with This
161-183 = C = I Did OK with This
138-160 = D = I Need a Lot of Help with This
0-137 = F = I Didnt Do This at All