Name: ___________________________________ 

Assessment:_______________________________ 

Date:____________________________________ 

 

Question 
Number 

SE/Concept 

My 
Answer 

Correct 
Answer 

 

 

1. 

Segment 
Measure 

 

C 

 

 

2. 

Distance 

 

C 

 

 

3. 

Supplementary 
Relationships 

 

C 

 

 

4. 

Angle 
Relationships 

 

B 

 

 

5. 

Angle 
Relationships 

 

D 

 

 

6. 

Angle 
Relationships 

 

B 

 

 

7. 

Segment 
Measure 

 

27 

 

 

8. 

Distance 
Formula 

 

 89

 

 

9. 

Midpoint 
Formula 

 

(3/2, -5/2) 

 

 

10. 

Midpoint 
Formula 

 

(-1, -3) 

 

 

11. 

Distance 
Formula 

 

 12515.

 

 

12. 

Segment 
Measure 

 

X=8, Y=7 

 

 

13. 

Segment 
Measure 

 

Y=8 

 

 

14. 

Precision 

 

 
1615416134.

 

 

15. 

Truth Table 

 

FTTTFFTT 

 

 



Total Correct = _______ Percent Correct = ________ 

 


Question 
Number 

SE/Concept 

Notation/ 
Units 

Calculator 
Mistake 

Algebra 
Error 

Arithmetic 
Error 

Did not 
understand 
Question 

Did not read 
Question 

Writing a 
Complete 
Sentence/ 
Explanation 

1. 

 

 

 

 

 

 

 

 

2. 

 

 

 

 

 

 

 

 

3. 

 

 

 

 

 

 

 

 

4. 

 

 

 

 

 

 

 

 

5. 

 

 

 

 

 

 

 

 

6. 

 

 

 

 

 

 

 

 

7. 

 

 

 

 

 

 

 

 

8. 

 

 

 

 

 

 

 

 

9. 

 

 

 

 

 

 

 

 

10. 

 

 

 

 

 

 

 

 

11. 

 

 

 

 

 

 

 

 

12. 

 

 

 

 

 

 

 

 

13. 

 

 

 

 

 

 

 

 

14. 

 

 

 

 

 

 

 

 

15. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Totals: 

 

 

 

 

 

 

 

 



SE/ 
Concept 

Number of 
Questions 

Percent 
Correct 

Mastery 

Y/N 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

Plan of action for SEs not mastered: (Example: I will come to 
tutoring after school.) 

1. 

 

 

2. 

 

 

3.