Au'Jshane Foster's IEP Survey - 12/05/2012
Name: 


  1. Please rate yourself for how you think you have done over the last week:

            1 2 3 4 5      
      Class Participation Excellent  Poor  
      Self-Advocacy Excellent  Poor  


  1. How many quizzes or tests have you had in the previous week?

            1 2 3 4 5      
      Com Arts III 1 5  
      Physical Science 1 5  
      Algebra II 1 5  
      US History 1 5  


  1. How many times did you request/use accommodations in the following classes:

            1 2 3 4 5      
      Com Arts III 1 5  
      Physical Science 1 5  
      Algebra II 1 5  
      US History 1 5  


  1. In the last week, how many times were you absent from the following classes:

            1 2 3 4 5      
      Com Arts III 0 4  
      Physical Science 0 4  
      Algebra II 0 4  
      US History 0 4  





Christie Mead
Harmony Middle School
KS