Alex Carrera's IEP Survey 1/2017
Name: 


  1. Alex is able to organize steps necessary for completing tasks.
    0 - Never observed 0% of the time
    1 - Rarely observed 1% - 25% of the time
    2 - Occasionally observed 26% - 50% of the time
    3 - Moderately Observed 51% - 75% of the time
    4 - Frequently Observed 76% - 100% of the time


  1. Alex completes tasks and turns in his homework in a timely manner.
    0 - Never observed 0% of the time
    1 - Rarely observed 1% - 25% of the time
    2 - Occasionally observed 26% - 50% of the time
    3 - Moderately Observed 51% - 75% of the time
    4 - Frequently Observed 76% - 100% of the time


  1. Alex is on task in class.
    0 - Never observed 0% of the time
    1 - Rarely observed 1% - 25% of the time
    2 - Occasionally observed 26% - 50% of the time
    3 - Moderately Observed 51% - 75% of the time
    4 - Frequently Observed 76% - 100% of the time


  1. Alex manages his time well.
    0 - Never observed 0% of the time
    1 - Rarely observed 1% - 25% of the time
    2 - Occasionally observed 26% - 50% of the time
    3 - Moderately Observed 51% - 75% of the time
    4 - Frequently Observed 76% - 100% of the time


  1. Alex recognizes when he needs to seek help with concept attainment or assignments.
    0 - Never observed 0% of the time
    1 - Rarely observed 1% - 25% of the time
    2 - Occasionally observed 26% - 50% of the time
    3 - Moderately Observed 51% - 75% of the time
    4 - Frequently Observed 76% - 100% of the time


  1. Comments that you would like to have added to the IEP in regards to Alex's performance in your class:





Christie Mead
Harmony Middle School
KS