Shay Callahan's IEP Survey - 4th Quarter 5/2015
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





Christie Mead
Harmony Middle School
KS