Survey of Classroom Performance - Madeleine Carter

1 = Does not perform task, or performs task only with continual prompting/monitoring
2 = Performs task with periodic prompting
3 = Performs task with only one prompt
4 = Performs task independently
Name: 


  1. Madeleine brings necessary materials to class.
    1 2 3 4


  1. Madeleine has a personal organization system (uses planner)
    1 2 3 4


  1. Madeleine gets out necessary materials within the first 5 minutes of class
    1 2 3 4


  1. Madeleine focuses on teacher instruction
    1 2 3 4


  1. Madeleine actively participates in class discussion/activities.
    1 2 3 4


  1. Madeleine asks questions during class if she does not understand information presented in class.
    1 2 3 4


  1. Madeleine uses class time productively.
    1 2 3 4


  1. Madeleine uses accommodations in the classroom and on tests.
    1 2 3 4


  1. Madeleine seeks help or assistance outside of class.
    1 2 3 4


  1. Comments on Madeleine's classroom performance: