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EDAH English

This document contains a questionnaire assessing the behaviors of a 7-year old student named Vicente Spagnol. The questionnaire contains 20 questions for the student's teacher to rate on a scale of 0 to 3, with 0 being "Never" and 3 being "Always". The questions assess behaviors such as attention, impulsivity, cooperation, and interactions with peers. The teacher's ratings will be used to evaluate the student's behaviors and potential difficulties.

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María Sancho
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110 views

EDAH English

This document contains a questionnaire assessing the behaviors of a 7-year old student named Vicente Spagnol. The questionnaire contains 20 questions for the student's teacher to rate on a scale of 0 to 3, with 0 being "Never" and 3 being "Always". The questions assess behaviors such as attention, impulsivity, cooperation, and interactions with peers. The teacher's ratings will be used to evaluate the student's behaviors and potential difficulties.

Uploaded by

María Sancho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EDAH

Name of the student: Vicente Spagnol Age: 7 School: Alma Forest School

School year: Grade 2 Name of the teacher: Philipp Klaus

Answer each question by circling the degree to which the student exhibits each of the behaviors
described:

0 = Never
1 = Rarely
2 = Often
3 = Always

Remember that when answering the sentences of the questionnaire you must give your own
opinion, so answer honestly and using your own criteria. Try to answer all the questions without
leaving any blank.
Nº Question 0 1 2 3
Nº

1 He has excessive motor restlessness * H


2 He has learning difficulties at school * DA
3 He annoys or disturbs other children * TC
4 He is easily distracted, shows little attention * DA
5 He demands immediate satisfaction to his demands * H
6 He has difficulty with cooperative activities * TC
7 He is frequently lost in his thoughts * DA
8 He doesn’t finish the tasks * DA
9 He’s not well accepted by the group * TC
1 He denies his mistakes or blames others for them * TC
0

1 Often shouts or yells in inappropriate situations *


1
TC

1 He frequently answers back (belligerent) *


2 TC

1 He constantly moves *
3
H

1 He frequently discusses or fights over everything *


4 TC
1 He has unpredictable outbursts *
5
TC

1 He lacks sense of the rule, of "fair play" *


6
TC

687054700 C/ San Francisco, nº52. 1º Izq Pueblo Nuevo - Sotogrande


[email protected]

Nº Question 0 1 2 3

1 He's impulsive *
7 H

1 He doesn’t get on with most of his peers *


8
TC

1 His efforts are easily frustrated, he is fickle *


9 DA

2 He doesn’t follow the teacher's instructions or directions *


0 TC

687054700
[email protected]
C/ San Francisco, nº52. 1º Izq Pueblo Nuevo - Sotogrande

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