I use this as a pre-assessment prior to beginning the module. The CCSS learning targets as well as success criteria are clearly listed for the students to allow for visible learning. I then follow this up with the same assessment as a "study guide" to collect pre and post assessment data.
Also in my store you will find the goal setting sheet that goes along with this form so students can create learning goals for the module based on their pre-assessment scores
I will be uploading all of the modules over the next few weeks.