Nathan Mitchell's IEP Survey -12/17

Name


  1. Pays attention during instruction:
      1 2 3 4 5  
    Excellent   Poor


  1. Stays focused during individual work
      1 2 3 4 5  
    Excellent   Poor


  1. Stays awake the entire period:
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan interacts appropriately with others:
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan brings necessary materials to class:
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan will ask for help (self-advocacy):
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan completes homework on time:
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan follows verbal directions:
      1 2 3 4 5  
    Excellent   Poor


  1. Nathan utilizes accommodations:
      1 2 3 4 5  
    Excellent   Poor


  1. Comments:





Harmony Middle School
KS