George's IEP Probe: 3rd quarter survey

Self-Determination
Name: 


  1. How did you get the help you needed this quarter? Check all that apply.
    Asked the classroom teacher for help during class
    Asked/received help from the paraprofessional
    Came in before school
    Came in on Thursday morning to the Learning Center to work
    Stayed after school


  1. Rate yourself on your ability/skill at advocating for yourself this quarter.
      1 2 3 4 5  
    Excellent   Poor


  1. On what tests or assignments did you ask for modifications or accommodations this quarter?


  1. How many missing assignments did you have in all of your classes this quarter? (You did not turn them in during the hour that they were due)


  1. During 3rd quarter, I demonstrated required classroom behavior to stay focused during individual work time.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. During 3rd quarter, I attended to lecture, discussion or conversation.
      1 2 3 4 5  
    Strongly agree   Strongly disagree





Christie Mead
Harmony Middle School
KS