\documentclass{article}

\begin{document}

\title{Referees Report}
\author{By:  }% put your name here

\maketitle

\textsc{About Paper:}

\medskip

\textsc{Author(s) of the paper:}

\medskip

\textsc{Student author of the presentation:}

\bigskip

This form is inspired of \emph{a Form for Referee in Theoretical Computer Science} by Ian Parberry.



\section{General evaluation}

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
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\begin{itemize}
\item Excellent
\item Good
\item Sketchy
\item Average
\item Poor
\item Very bad
\end{itemize}

\section{Referee}


\subsection{Comprehension}

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item Understand perfectly
\item Understand majority
\item Understand ideas
\item Slightly confused
\item Very Confused
\end{itemize}

\newpage
\section{For Teacher only}

\emph{Put here comments for the teacher only. }

\newpage

\section{For the Student Author of the Presentation}


\subsection{Clarity}

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% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item Crystal clear
\item Very clear
\item Clear
\item Obscure
\end{itemize}


\subsection{Accessibility}

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% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item Expert
\item Specialist
\item Mathematician
\item Computer Science
\item Well educated person
\item Layman 
\end{itemize}


\subsection{Correct}
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
\begin{itemize}
\item Correct
\item Correct beyond reasonable doubt
\item Probably correct
\item Probably incorrect
\item Wrong
\item Cannot tell
\end{itemize}
\subsection{Density}
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item Too long
\item Adequate
\item Terse
\item Too terse
\end{itemize}


\subsection{Introduction}
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item  Excellent
\item  Good
\item Average
\item Bad
\end{itemize}

\subsection{Core}
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item  Excellent
\item  Good
\item Average
\item Bad
\end{itemize}

\subsection{Conclusion}
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
% Chooose one of the items
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

\begin{itemize}
\item  Excellent
\item  Good
\item Average
\item Bad
\end{itemize}
\newpage


\section{General assessment}

\emph{Put here your general comments of the presentation.}


\end{document}
