Teacher Survey

Thank you for your interest in your student. Kindly take a few minutes to complete this survey for the student whose name appears below. Your student will receive one hour of service learning for your participation. Mark your answers based on your own professional judgment at this particular point in the school year.
Teacher Information
Student Information
*
Check the appropriate column in each category for the student whose name appears above.
ExcellentGoodSomeLittleNoneDon't Know
Self-control
Cooperation
Responsibility
Self-confidence
Classroom participation
Interaction with teacher
Interaction with other children
Communicates clearly
Handles conflict
Appearance
Behavior
Listens attentively
Follows directions
Completes tasks
Attendance
Tolerates frustration
Interest in reading
Interest in writing
Interest in spelling
Interest in math
Academic mastery in reading
Academic mastery in writing
Academic mastery in spelling
Academic mastery in math
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