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.

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* 1. Student First Name

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* 2. Student Last Name

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* 3. Current Grade

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* 4. Current School

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* 5. Displays an excellent memory.

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* 6. Has a long attention span.

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* 7. Has keen powers of observation.

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* 8. Has a wide range of interests.

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* 9. Has good problem solving and reasoning abilities.

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* 10. Has a keen sense of humor.

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* 11. Appears to learn rapidly.

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* 12. Tends to be an independent learner.

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* 13. Demonstrates unusual curiosity.

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* 14. Perseveres, when interested.

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* 15. Shows a high degree of creative thinking.

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* 16. Shows high intensity in studies.

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* 17. Uses an extensive vocabulary.

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* 18. Tends to question authority.

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* 19. Shows early or advanced reading ability.

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

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* 21. Displays a vivid imagination.

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* 22. Makes judgements mature for age.

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* 23. Is concerned with justice and fairness.

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* 24. Displays personal sensitivity.

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* 25. Tends to be a perfectionist.

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* 26. Has a preference for older companions.

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* 27. Shows compassion for others.

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* 28. Displays ability with numbers.

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

Thanks for your time!
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