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Appendix D

Date:____________________ RW

WW

Lesson:____________________________________
Instructions: Use blanks with grade levels to tally comments/remarks made by each
grade level. There are blank spaces below to record comments of note or add an
additional tally block if a certain word/subject is used frequently.
Positive and Negative Comments/Affirmations may be related to the topic
discussion, but not necessarily. For instance, This is dumb, would be marked as a
Negative Comment. Your hair looks cute, and, This project is awesome, would
both be Positive Comments.
The second half is to evaluate how well students are sticking to their agreed-upon
discussion norms. This is designed to evaluate on-topic discussion during group
work as well as the debates.
Positive Comments/Affirmations

Negative Comments/Put-Downs

4th Grade:
5th Grade:

4th Grade:
5th Grade:

Remarks IAW Norms

Remarks Not IAW Norms

4th Grade:
5th Grade:

4th Grade:
5th Grade:

Appendix D

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