learning. If the needs / functioning fall within a shaded box, explain why: child’s II-7. School Behavior (PAST 30 DAYS) – Child is behaving well in When child is in preschool / When child is in preschool / When child is in preschool / preschool / child care. Any child care, he / she behaves child care, he / she has child care, he / she is having concerns are age adequately although some moderate behavioral severe problems with appropriate or this behavior problems exist. problems and is disruptive. behavior and is frequently or information is unknown to Many interventions have severely disruptive. Threat me. been put in place. of expulsion. If the needs / functioning fall within a shaded box, explain why: child’s B. BEHAVIORAL CHARACTERISTICS (Ages Birth to 5) (Continued) II-8. School Achievement (PAST 30 DAYS) – Child is doing well learning Child is doing adequately Child is having moderate Child is having severe new skills. Any concerns learning new skills with problems learning new skills. achievement problems. are this age appropriate or some challenges. Child may Child may not be able to Child may be completely information is unknown to be able to do well with extra retain concepts / skills or unable to understand or me. adult support. meet expectations in some participate in skill areas even with adult development in most or all support. areas. If the needs / functioning fall within a shaded box, explain why: child’s II-9. School Relationship with Teachers – Child has good relations with Child has occasional Child has difficult relations Child has very difficult teachers. Any concerns are difficulties relating with at with teachers that notably relations with all teachers or age appropriate or this least 1 teacher or during at interferes with his / her with their only teacher which information is unknown to least one subject period. education. prevents the child from me. learning. If the needs / functioning fall within a shaded box, explain why: child’s
learning. If the child’s needs / functioning fall within a shaded box, explain why: II-7. School – Behavior (PAST 30 DAYS) Child is behaving well in preschool / child care. Any concerns are age appropriate or this information is unknown to me. When child is in preschool / child care, he / she behaves adequately although some behavior problems exist. When child is in preschool / child care, he / she has moderate behavioral problems and is disruptive. Many interventions have been put in place. When child is in preschool / child care, he / she is having severe problems with behavior and is frequently or severely disruptive. Threat of expulsion. If the child’s needs / functioning fall within a shaded box, explain why: B. BEHAVIORAL CHARACTERISTICS (Ages Birth to 5) (Continued) II-8. School – Achievement (PAST 30 DAYS) Child is doing well learning new skills. Any concerns are age appropriate or this information is unknown to me. Child is doing adequately learning new skills with some challenges. Child may be able to do well with extra adult support. Child is having moderate problems learning new skills. Child may not be able to retain concepts / skills or meet expectations in some areas even with adult support. Child is having severe achievement problems. Child may be completely unable to understand or participate in skill development in most or all areas. If the child’s needs / functioning fall within a shaded box, explain why: II-9. School – Relationship with Teachers Child has good relations with teachers. Any concerns are age appropriate or this information is unknown to me. Child has occasional difficulties relating with at least 1 teacher or during at least one subject period. Child has difficult relations with teachers that notably interferes with his / her education. Child has very difficult relations with all teachers or with their only teacher which prevents the child from learning. If the child’s needs / functioning fall within a shaded box, explain why: