Davis Fein's IEP Survey 2107

Tools

Name:

Davis 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

Davis 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

Davis is on task in class and pays attention to instruction.

	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

Davis interacts with peers and teachers by initiating or responding to others.

	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

Davis utilizes accommodations:

	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

Davis recognizes when he needs to seek help with concept attainment or assignments and asks for assistance.

	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

Comments that you would like to have added to the IEP in regards to Davis' performance in your class:

Harmony Middle School