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Instructions:
Right-click
on the file you want to download, select 'save as' and select a location
on your drive.
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ACADEMIC PROBLEM IDENTIFICATION
CHECKLIST |
SOCIAL/EMOTIONAL/ACADEMIC ADJUSTMENT
CHECKLIST |
Ideal for use during parent-teacher
conferences, this form facilitates a working partnership about
key areas of potential difficulty for academically at-risk
students, K-12. It inventories 53 potential problems, clustered
into eight areas: academic skills, attendance, attention
control, comprehension, emotional control, problem solving,
productivity, and social skills. Duplication of this form is
permitted.
Download
English Version
Download
Spanish Version
(Requires Adobe
Acrobat Reader)
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This is an unnormed checklist for
initial screening of social, emotional, or academic difficulties
in any student (K-12). The teacher fills it out, usually in less
than a minute, and scoring is immediate. The checklist screens
for abnormalities in achievement concern, creative initiative,
independence, alertness, attendance, comprehension, attention
span, self-confidence, self-discipline, emotional control,
relationships with peers and relationships with school staff.
Duplication of this form is permitted. Download
English Version
Download
Spanish Version
(Requires Adobe
Acrobat Reader)
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| HYPERACTIVITY SCREENING
CHECKLIST |
CLASSROOM DAILY REPORT FORM |
| Of the screening checklists currently
available for ADHD, this is one of the more user-friendly,
convenient and versatile. It can be given orally and takes less
than three minutes to administer. It applies to a wide age range
(two through adult) and is so easy to understand that it can
even be administered directly to the child (age 7 or above).
This checklist is for initial quick screening only. Duplication
of this form is permitted. Download
English Version
Download
Spanish Version Part
1
Download
Spanish Version Part
2
(Requires Adobe
Acrobat Reader)
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This form facilitates daily contact
between the parent and the teacher. It allows convenient
reporting of the key problems often encountered with at-risk
students and includes provision for the teacher and parent to
send additional messages and indicate receipt of the form.
Behavior monitored on this form includes arrival with needed
materials, on-task time, classroom participation and deportment,
seat work and homework efficiency, overdue work still out, and
homework assignments given. Duplication of this form is
permitted. Download
English Version
Download
Spanish Version
(Requires Adobe
Acrobat Reader)
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MEDICATION EFFECTIVENESS REPORT FORM:
Parents'
Version
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SCHOOL MEDICATION EFFECTIVENESS REPORT FORM:
Teachers'
Version
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This form provides a convenient, accurate way for parents
or teachers to report medication effects to the physician in order to
facilitate dosage adjustment or selection of alternative medication. It
assesses the intended effects and includes side effects with provision for
reporting additional positive and negative effects. Use it weekly to help
establish correct dosage, then periodically to check continued medication
effectiveness. Duplication of this form is permitted.
Parent Form Download
English Version
Download
Spanish Version
(Requires Adobe
Acrobat Reader)
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This form provides a convenient, accurate way for parents
or teachers to report medication effects to the physician in order to
facilitate dosage adjustment or selection of alternative medication. It
assesses the intended effects and includes side effects with provision for
reporting additional positive and negative effects. Use it weekly to help
establish correct dosage, then periodically to check continued medication
effectiveness. Duplication of this form is permitted.
Teacher Form Download
English Version
Download
Spanish Version (Requires Adobe
Acrobat Reader)
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TAYLOR MATH GRIDS
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These grids are ideal for assisting any student who has visual perceptual, eye-hand or visual organizational difficulties resulting in trouble keeping columns of numbers vertical when doing math seat work or homework. Simply run off several pages and offer these grids in place of ordinary notebook paper. The student puts one digit in each square. The vertical pull of the Taylor Math Grids aids further in helping the student keep math columns straight. These grids are especially helpful with division and multiplication, which require the student to write digits diagonally across the paper, then add them up vertically.
Download Primary Version
Download Advanced Version
(Requires Adobe
Acrobat Reader)
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