Data Information on Organization/Study Skills
Name: 


A red asterisk (*) indicates required questions.

  1. Student Name ___________________*


  1. Class: ________________*


  1. Time Management: Does the student use a planner or calendar?
    Yes
    No


  1. Time Management:Does the student keep track of tests and assignments?
    Yes
    No


  1. Time Management:Does the student get to class on time?
    Yes
    No


  1. Materials: Does the student keep a notebook/laptop for your class?
    Yes
    No


  1. Materials: Does the student bring the necessary materials for your class?
    Yes
    No


  1. Test Taking: Does the student get nervous when taking a test?
    Yes
    No


  1. Test Taking:Does the student complete test on time?
    Yes
    No


  1. Test Taking:Does the student read directions or questions carefully?
    Yes
    No


  1. Test Taking:Does the student understand multiple choice questions?
    Yes
    No


  1. Test Taking:Does the student have difficulty with essay questons?
    Yes
    No


  1. Test Taking:Does the student during a test have difficulty remembering what has been studied?
    Yes
    No


  1. Study Skills: Is the student unable to stay focused in your class?
    Yes
    No


  1. Study Skills:Is the student distracted by things that happen in class?
    Yes
    No


  1. Study Skills:Does the student have a difficult time studying from notes, book or laptop?
    Yes
    No


  1. Advanced Thinking: Does the student know how to organize information from laptop, notes, and book?
    Yes
    No


  1. Note Taking: Does the student take notes?
    Yes
    No


  1. Note Taking: Are the notes that the studedn't takes disorganized and hard to understand?
    Yes
    No


  1. Note Taking:Does the student have a hard time taking notes from a lecture?
    Yes
    No


  1. Note Taking: Does the student have a hard time taking notes because he/she gets distracted?
    Yes
    No


  1. Advanced Thinking: Does the student have a difficulty organizing information sequentially?
    Yes
    No


  1. Advanced Thinking: Does the student have difficulty comparing and contrasting ideas?
    Yes
    No


  1. Advanced Thinking: Does the student have difficulty understanding how information is organized into categories?
    Yes
    No


  1. Advanced Thinking: Does the student have difficulty determining cause and effect relationships?
    Yes
    No


  1. Advanced THinking: Does the student have difficulty with problem solving?
    Yes
    No


  1. Please list the accommodations if any that the student uses?



  1. Please make any comments or suggestions that could be used to help the student.


  1. Thank you for your time and effort.

    Kathy B





Kathy Bugliaro
VA