Directions

Type your student's first and last name in each box. Indicate your student's grade level and building your student attends.Then, please mark the entry that describes how often you observe the following behaviors in your child.

Add any appropriate explanations or detailed comments to assist teachers in meeting the needs of your child. When possible, provide an example.

Please complete this form no later than 2 weeks after you've received identification information.

Question Title

* Student First Name

Question Title

* Student Last Name

Question Title

* Current Grade

Question Title

* Current School

Question Title

* 1. Displays and excellent memory

Question Title

* Example or comment

Question Title

* 2. Has a long attention span.

Question Title

* Example or comment

Question Title

* 3. Has keen powers of observation

Question Title

* Example or comment

Question Title

* 4. Has a wide range of interests.

Question Title

* Example or comment

Question Title

* 5. Has good problem solving and reasoning abilities.

Question Title

* Example or comment

Question Title

* 6. Has a keen sense of humor.

Question Title

* Example or comment

Question Title

* 7. Appears to learn rapidly.

Question Title

* Example or comment

Question Title

* 8. Tends to be an independent learner.

Question Title

* Example or comment

Question Title

* 9. Demonstrates unusual curiosity.

Question Title

* Example or comment

Question Title

* 10. Perseveres, when interested.

Question Title

* Example or comment

Question Title

* 11. Shows a high degree of creative thinking.

Question Title

* Example or comment

Question Title

* 12. Shows high intensity in studies.

Question Title

* Example or comment

Question Title

* 13. Uses an extensive vocabulary.

Question Title

* Example or comment

Question Title

* 14. Tends to question authority.

Question Title

* Example or comment

Question Title

* 15. Shows early or advanced reading ability.

Question Title

* Example or comment

Question Title

* 16. Is good at jigsaw puzzles, making sense of patterns.

Question Title

* Example or comment

Question Title

* 17. Displays a vivid imagination.

Question Title

* Example or comment

Question Title

* 18. Makes judgements mature for age.

Question Title

* Example or comment

Question Title

* 19. Is concerned with justice and fairness.

Question Title

* Example or comment

Question Title

* 20. Displays personal sensitivity.

Question Title

* Example or comment

Question Title

* 21. Tends to be a perfectionist.

Question Title

* Example or comment

Question Title

* 22. Has a preference for older companions.

Question Title

* Example or comment

Question Title

* 23. Shows compassion for others.

Question Title

* Example or comment

Question Title

* 24. Displays ability with numbers.

Question Title

* Example or comment

Question Title

* 25. Has advanced abilities in one or more subjects.

Question Title

* Example or comment

Thank you for your time.

T