I developed this "bell ringer" out of my own need to formatively assess my students. Sometimes gaining meaningful feedback from students during a lesson is difficult, because they don't know what they don't know! This simple form provides the teacher with feedback about a student's perception of his or her own understanding as well as evidence of this understanding through a simple task of your choice (a problem, a writing prompt, whatever suits the lesson objective for the day). Very adaptable!
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You're invited to stop by my classroom anytime at mathycathy.com/blog