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Table 2- Diagnostic Checklist for Schools Success
| Name of Student |
___________________________________ |
| School |
___________________________________ |
| Grade |
___________________________________ |
| Date |
___________________________________ |
| Name of Therapist |
___________________________________ |
The therapist should review each item on this checklist with the parents and adolescent, determining whether it applies. Most of the items refer to the behavior of the adolescent: some refer to the actions of the teachers and school personnel. Rate each item on a 1 - 5 scale.
1=Never 2=A little 3=Sometimes 4=Often 5=Always
HOMEWORK
___ 1. Uses an assignment book
___ 2. Does homework in non-distracting, quiet environment
___ 3. Has a planful approach to the order for doing homework
___ 4. Completes homework on time
___ 5. Hands homework in on time
___ 6. Spends sufficient time on homework
___ 7. Keeps and follows a written plan with calendar for long-term assignments
___ 8. Is currently up to date on homework
ORGANIZATION
___ 9. Comes to class prepared with materials
___10. Keeps notebooks, papers, study area organized & accessible
___11. Uses calendar, schedule, planner to manage time
___12. Keeps track of grades regularly/knows grading criteria
___13. Brings home materials needed for homework
___14. Keeps locker organized
TEST PREPARATION & TEST-TAKING
___15. Spends sufficient time studying/e.g. doesn't cram at last minute
___16. Matches study to the type of questions on exam
___17. Uses old tests to help prepare for upcoming exams
___18. Has an organized approach to studying (e.g. SQ4R)
___19. Has an organized approach to taking tests
___20. Reads & follows directions carefully & doesn't respond impulsively
___21.Writes legibly or uses word processor
___22. Pays attention adequately during tests
___23. Receives passing or higher grades on tests
___24. Does not cheat
___25. Remembering information during the test
___26. Finishes the test within the allotted time
___27. Manages anxiety effectively during tests
NOTE TAKING
___28. Takes notes during lectures
___29. Gets main points in notes
___30. Notes are legible
___31. Uses notes for studying
___32. Notes are accurate
___33. Uses organized method such as SQ4R
___34. Can identify topics, main ideas, and details
___35. Understands what has been read
___36. Underlines text effectively
___37. Can answer questions about text
___38. Can summarize what was read
___39. Has method for learning new vocabulary in readings
___40. Can pay attention while reading
CLASSROOM PARTICIPATION & CONDUCT
___53. Attends all classes
___54. Gets to class on time
___55. Participates in discussion
___56. Volunteers answers to questions
___57. Is with the class when called on by teacher
___58. Cooperates with teacher
___59. Raises hand and doesn't call out of turn
___60. Follows classroom rules
___61. Talks respectfully to teachers
___62. Relates positively to peers
___63. Asks for help when needed
UNDERSTANDING/PROCESSING PROBLEMS
___64. Student understands material
___65. Student decodes accurately
___66. Student comprehends what is read
___67. Handwriting is legible
___68. Student can express thoughts in writing
___69. Student can express thoughts orally
___70. Student understands mathematical concepts
___71. Mathematical calculation is accurate
___72. IEP or 504 Plan exists in writing
___73. Written plan meets needs outlined above
___74. Written plan is adequately implemented
___75. Content area teachers are familiar with plan
___76. Case manager appointed to monitor plan
___77. Teachers are accountable for providing accommodations
___78. Informal accommodations (not in writing)
___79. School keeps parents informed of student progress
SOCIAL SCENE
___80. Adolescent has close friends at school
___81. Friends encourage academic success & prosocial behavior
___82. Student is happy with his/her social life
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