1. Behavioral Rating Survey

Welcome to Gemm Learning.

Please complete this brief behavioral rating questionnaire. Your answers will help us develop a protocol to meet your child's unique needs.

For each question, please answer for your child as compared to students of the same age and gender. All responses are kept confidential.

1. Your details.

2. Spoken and receptive language. Compared to students of the same age and gender, your child:

  Significantly Below Average Below Average Average Above Average Significantly Above Average
Participates actively in conversation
Has a strong vocabulary
Can describe events in sequence
Has good pronunciation skills

3. Reading skills. Compared to students the same age and gender, your child:

  Significantly Below Average Below Average Average Above Average Significantly Above Average
Sounds out words easily
Learns from mistakes
Is a fluent reader
Reads with comprehension
Is a good speller
Can read for long periods
Reads for pleasure

4. Learning and Processing Skills. Compared to students the same age and gender, your child:

  Significantly Below Average Below Average Average Above Average Significantly Above Average
A good test taker
Has good grades
Follows spoken directions
Completes homework quickly
Can focus for long periods
Knows math facts

5. Esteem and Work Habits. Your child:

  Significantly Below Average Below Average Average Above Average Significantly Above Average
Has no problem starting homework
Enjoys school
Has confidence at school
Works independently

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