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Observed Behaviors
Please rate the following behaviors, as you've observed them in class.
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STUDENT'S NAME
*
FIRST and LAST
Your answer
Student follows instructions
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student pays attention to the task at hand
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student completes assignments
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student organizes her/his materials
Never Observed
1
2
3
4
5
Observes Daily
Clear selection
Student uses problem solving strategies
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student demonstrates ability to work independently
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student asks for help
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student respects teacher authority
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student displays peer relationship and group skills
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student displays conflict resolution skills
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student is able to communicate frustrations
Never Observed
1
2
3
4
5
Observed Daily
Clear selection
Student displays signs of stress and/or depression
(note change in rating scale)
Observed Daily
1
2
3
4
5
Never Observed
Clear selection
Additional observations and/ or concerns
Your answer
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