Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

Guided Reflection Form (Copy of Template)

As a scientist, youll be confronted with complex challenges every day. Overcoming these
challenges will require that you organize your work, collaborate with a network of other scientists,
and treat failure as an opportunity for self-improvement. The Guided Reflection Form will help you
develop these skills through a process of in-depth self-evaluation.
* Required

1. First name: *

2. Last name: *

3. Email: *

Framing your reflection

When using reflection as a tool to improve, it's helpful to reflect on a concrete episode from your
recent past. Doing so provides an authentic, tangible context for self-reflection.
4. Think about a specific episode from last week that you would like to improve upon.
Choose the skills you think would help you improve on this in the future. *
Mark only one oval.
Bouncing back from failure or other setbacks

Skip to question 5.

Building a network and developing collaboration skills

Skip to question 8.

Becoming an organized, self-aware, and mindful person

Something different

Skip to question 11.

Skip to question 14.

Bouncing back from failure or other setbacks

Failure is a routine part of science: computer programs will be buggy, equipment won't work, and
experiments will yield weird results. Scientists are characterized by their ability to use these setbacks
as opportunities to improve their work.
As a budding scientist, you can prepare yourself for dealing with failure in the lab by working to
develop a healthy attitude towards setbacks in the classroom. This can mean building skills to help

1 of 6

3/11/15, 12:02 PM

Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

you struggle through a difficult problem set or figure out how to move forward from a low grade. Use
this section of the rubric to reflect on your attitude about failure.
When writing your self-reflection, you may find it helpful to consult the Guided Reflection Rubric:
http://tinyurl.com/GuidedReflectionRubric
5. Describe a specific experience from last week that you would like to improve upon. *

6. What strategies did you use to respond to the challenge?

Check all that apply.
Check all that apply.
(Perseverance) I didn't give up easily even though I was struggling.
(Perseverance) When I was stuck on a problem, I took a step back to make sure my
approach made sense.
(Perseverance) I tried multiple approaches until I found one that worked.
(Courage) I tried new things even if I was uncertain what the outcome might be.
(Courage) I asked others for help.
(Compassion) I acted kindly towards myself when I was having difficulty with something.
(Compassion) I didn't let my setbacks define how I feel about myself.
Other:
7. Describe an aspect of this experience that you can improve in the future. *
Provide at least one concrete strategy you will use to be more successful.

Skip to question 17.

Building a network and developing collaboration skills

Whether its curbing global warming, curing cancer, or solving the energy crisis, the challenges we
face today require Big Science, i.e., large-scale collaborations involving hundreds or thousands of
scientists all over the world.

2 of 6

3/11/15, 12:02 PM

Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

As a budding scientist, you can practice collaborating and networking by participating in study
groups, tutoring sessions, office hours, or mentoring programs. Use this section of the rubric to reflect
on your collaboration and networking skills.
When writing your self-reflection, you may find it helpful to consult the Guided Reflection Rubric:
http://tinyurl.com/GuidedReflectionRubric
8. Describe a specific experience from last week that you would like to improve upon. *

9. What strategies did you use to respond to the challenge?

Check all that apply.
Check all that apply.
(Networking) I made connections with new people who might be able to help me in the
future.
(Networking) I used my network when I needed help.
(Networking) I learned strategies from my peers to improve my study, organization, and
investigation skills.
(Collaboration) I worked in a team to tackle difficult problems.
(Collaboration) I contributed my ideas to the team, even if I wasn't sure they were right.
(Collaboration) I asked questions to support quiet team members; I made sure we listened
to everyone's ideas.
(Collaboration) When I felt frustrated, I took time to calm down and figure out how to move
on productively.
Other:
10. Describe an aspect of this experience that you can improve in the future. *
Provide at least one concrete strategy you will use to be more successful.

Skip to question 17.

3 of 6

3/11/15, 12:02 PM

Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

Becoming an organized, self-aware, and mindful person

Between teaching classes, writing grants, and managing a research team, scientists have a lot on
their plates. To be successful, they need to be mindful of their workload by staying organized and
making sure their busy schedule isn't negatively impacting their general well-being.
As a budding scientist, you'll find that you have a lot on your plate, too. Use this rubric to help you
become an organized, self-aware, and mindful person.
When writing your self-reflection, you may find it helpful to consult the Guided Reflection Rubric:
http://tinyurl.com/GuidedReflectionRubric
11. Describe a specific experience from last week that you would like to improve upon. *

12. What strategies did you use to respond to the challenge?

Check all that apply.
Check all that apply.
(Organization) I kept accurate and thorough records of my work.
(Organization) I used my records to reinforce my successes and/or learn from my mistakes.
(Organization) I came to class on time and turned in assignments when they were due.
(Organization) If I neglected to do something, I corrected my oversight quickly.
(Self-Awareness) I took time to reflect on my learning process.
(Self-Awareness) I paid attention to my stress levels last week and I took adequate
measures for self care.
(Self-Awareness) I made explicit efforts to manage my time, making sure to balance work,
play, and sleep.
Other:
13. Describe an aspect of this experience that you can improve in the future. *
Provide at least one concrete strategy you will use to be more successful.

4 of 6

3/11/15, 12:02 PM

Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

Skip to question 17.

Open-ended reflection
In addition to mindfulness, collaboration, and resilience, you'll be developing many other skills as a
physics student. Use this page to reflect on any aspect of your growth.
When writing your self-reflection, you may find it helpful to consult the Guided Reflection Rubric:
http://tinyurl.com/GuidedReflectionRubric
14. Describe a specific experience from last week that you would like to improve upon. *

15. What strategies did you use to navigate the situation? How did those strategies help? *

16. Describe an aspect of this experience that you can improve in the future. *
Provide at least one concrete strategy you will use to be more successful.

Skip to question 17.

Additional resources
There are tons of resources to help make your life easier, from tutoring to counseling to office hours.
If you think you'll need some help this week or in the future, consider checking out some of these
programs.

5 of 6

3/11/15, 12:02 PM

Guided Reflection Form (Copy of Template)

https://docs.google.com/forms/d/1PrPMg6HVz0-FLYU4Cvnf8...

17. Which resources did you use this week?

Check all that apply.
Check all that apply.
Academic Advising
Career Services
Counseling Services
Office Hours
Peer Mentor Program
Student Success Seminars
Study Group
Study Session Program
Tutoring
Other:
18. (Optional) Comment on your experience using these resources last week.

19. (Optional) Is there anything esle that you would like to share?
e.g., Did you have any successes or breakthroughs? Were there other challenges? Is there
something else we should know about?

Powered by

6 of 6

3/11/15, 12:02 PM