Dream A Dream Life skills Assessment Tool

Please record your over all impression for each question. Remember, the examples are only examples, they are not scoring points. Don’t spend too long thinking about each question, just record your impression. This form does not measure technical skills (art, sport, computer etc).

For each question, consider age appropriateness, think of chronological (real age), rather than appearance.

Circle or highlight the most relevant number in the boxes for each question. Low scores are not a problem. They indicate great potential for progress. Be sure to provide 2, 3 observations that helped you to make your rating

Use the comments sections to record any examples or specific incidents to explain why you have chosen the rating; you do not need to use the comments section every time.

Name of Child

Gender

Age (Does X look significantly younger? Y/N)

Partner NGO

Name of the Assessor:                                                                                      Date:

Areas of Assessment

Does not yet do

Does with lots of help

Does with some help

Needs just a little help

Does independently

A. Interacting with others

(For example, does X interact appropriately with other program members, staff, opposite sex? Does X communicate properly? Does X sensitive to others’ needs and feelings?)

1

2

3

4

5

Comments provide examples are rationale for rating:

B. Overcoming difficulties and solving problems/age-appropriate independence

(For example, does X find a way around obstacles which arise during the program? Does X ask for help appropriately? Does X consider pros and cons and make a choice?)

1

2

3

4

5

Comments provide examples are rationale for rating:

C. Taking initiative

For example, does X carry out tasks without being told? Does X show age appropriate leadership?

1

2

3

4

5

Comments provide examples are rationale for rating:

D. Managing conflict

(Does X show appropriate assertiveness? Does X resolve disagreements with others appropriately? Does X accept discipline without violence or foul language or running away?)

1

2

3

4

5

Comments provide examples are rationale for rating:

E. Understanding and following instructions

(For example, does X have difficulty with language?(If yes, please comment). Does X understand and willingly follow through instructions?)

1

2

3

4

5

Comments provide examples are rationale for rating:


What is the most significant change that you have noticed in the child?





Comments:



































Thank you for completing this questionnaire.  It will help us evaluate whether our programs are effective. ~ The Dream Team