Transition Skills Assessment Created by Mrs. Medill for Personal Skills

Complete the following transition survey.
Name: 


A red asterisk (*) indicates required questions.

  1. Do you look people in the eye when they talk to you or you talk to them?*
    Yes
    No


  1. Do you listen carefully to other people when they talk to you, and do you try to understand what they are saying?*
    Yes
    No


  1. When talking to other people, do you talk with respect?*
    Yes
    No


  1. If you don't understand when a teacher or employer asks you to do something, do you ask questions?*
    Yes
    No


  1. If a teacher or employer corrects you, do you except their help.*
    Yes
    No


  1. If you think a teacher or employer is not treating you fairly, do you stand up for your rights?*
    Yes
    No


  1. Do you get along well with people your own age?*
    Yes
    No


  1. If something isn't going well with a friend, do you try and work it out?*
    Yes
    No


  1. Is this true for you. When you are having difficulty with a friendship, the best solution is to just quit being friends.*
    Yes
    No


  1. If you need something from a friend, do you ask for help?*
    Yes
    No


  1. If someone tries to take advantage of you, do you stand up for yourself and stop this from happening?*
    Yes
    No


  1. Do you participate in planning your IEP and Transition planning and attend the meetings?*
    Yes
    No


  1. Can you talk about your limitations as well as your strengths?*
    Yes
    No


  1. Can you independently request accommodations from a teacher for your learning, behavioral, or attention differences?*
    Yes
    No


  1. Which best describes your ability to complete homework assignments?  *


  1. Do you come to class on time?  *


  1. Do you follow through on things you tell people you will do? For example: I will turn in this assignment tomorrow.*
    Yes
    No


  1. When you have a problem, do you think of several ways to solve it?*
    Yes
    No


  1. When you can't think of a good way to solve a problem, do you ask for help?*
    Yes
    No


  1. When you get at someone, do you solve the problem without yelling at or hurting the other person?*
    Yes
    No


  1. Which describes your approach when you have a problem with a peer?  *


  1. Do you know how to provide minor first aid for cuts, bruises, or burns?
    Yes
    No


  1. Do you always use a seat belt in a car, or a helmet when biking, roller blading, or skateboarding?
    Yes
    No


  1. If a friend asks you to do something dangerous, like hold drugs. cigarettes, or alcohol for them do you do it?*
    Yes
    No


  1. If a friend asks you to do something dangerous, like get in a car with kids who have been drinking, do you do it?*
    Yes
    No


  1. What would you do in an emergency where another person was badly injured or very sick?*


  1. What is one way that you can keep safe in your community?*





Mr. Burns
Worthington Middle School
Worthington, MN