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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

back to top | Table 2 continued

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