Shay Callahan's IEP Survey - 2015
Name: 


  1. Use of Planner:
    0-Does not complete planner
    1-Completes planner 1-25% of the time
    2-Completes planner 26-50% of the time
    3-Completes planner 51-75% of the time
    4-Completes planner 76-100% of the time
    5-Not sure


  1. Notes:
    0 - Does not complete notes
    1 - Notes are in order and complete 1-25% of the time
    2 - Notes are in order and complete 26-50% of the time
    3- Notes are in order and complete 51-75% of the time
    4- Notes are in order and complete 75-100% of the time


  1. Planning Ahead:
    0- Does not make a work plan
    1- Makes work plan only with assistance or not at all
    2- Makes work plan sometimes or with frequent assistance
    3- Makes a work plan most of the time or with occassional assistance
    4- Always makes a work plan independently


  1. Supplies:
    0- Does not bring supplies to class
    1- Brings supplies and books to class 1-25% of the time
    2- Brings supplies and books to class 26-50% of the time
    3- Brings supplies and books to class 51-75% of the time
    4- Brings supplies and books to class 76-100% of the time


  1. Use of time:
    0- Does not use classtime effectively
    1- Use of class time is effective 1-25% of the time
    2- Use of class time is effective 26-50% of the time
    3- Use of class time is effective 51-75% of the time
    4- Use of class time is effective 76-100% of the time


  1. Completes Assignments:
    0 - Does not complete assignments
    1 - Completes Assignments 1-25% of the time
    2 - Completes Assignments 26-50% of the time
    3 - Completes Assignments 51-75% of the time
    4 - 4-Completes Assignments 76-100% of the time


  1. Completes Assignments on time:
    0 - Has not completed any assignment on time
    1 - Completes Assignments 1-25% of the time on time
    2 - Completes Assignments 26-50% of the time on time
    3 - Completes Assignments 51-75% of the time on time
    4 - 4-Completes Assignments 76-100% of the time on time


  1. Let me know if you have any concerns or comments that you would like for me to add to Shalyn's IEP. Thank you!





Christie Mead
Harmony Middle School
KS