What I Can Do in the Classroom

STUDENT FORM

Student: School: Date:

This form was: ___ Marked by student ___ Marked by teacher interviewing student ___ Marked by teacher for student

This form is made to be used with the teacher-marked Importance of Classroom Behaviors form (Reproducible 5-7). Responses are then matched on the Classroom Behavior Summary and Comparison form (Reproducible 5-9) to determine target behaviors for individualized social skills training.

Almost Never

Some of Rarely the Time

Often

Always

I. Classroom Behavior
1. I listen quietly to directions. 2. I follow oral directions accurately. 3. I follow written directions accurately. 4. I appear attentive during discussions. 5. I am prepared with proper materials. 6. I begin assignments promptly. 7. I work quietly on assignments. 8. I ask for help when needed, but not to excess. 9. I turn in assignments on time. 10. I follow classroom rules. 11. I complete assigned tasks. 1 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 5

II. Basic Interaction Skills

12. I contribute appropriately to discussions. 13. I respond to the teachers praise and attention. 14. I engage in conversations appropriately. 15. I make requests appropriately. 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 5 5 5 5
(continued)

2010 Rhode, Jenson & Reavis

The Tough Kid Book R E P R O D U C I B L E 5 - 8 ( 1 o f 2 )

What I Can Do in the Classroom

STUDENT FORM

Almost Never

Some of Rarely the Time

Often

Always

III. Getting Along Skills

16. I participate in group activities. 17. I follow rules on the playground. 18. I follow rules in hallways and bathrooms. 19. I am positive and friendly. 20. I am cooperative. 21. I get the teachers attention appropriately. 22. I get my peers attention appropriately. 23. I get along with others on the playground.
1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5

IV. Coping Skills

24. I express anger appropriately. 25. I use appropriate language (no swearing). 26. I enjoy competition in the classroom/on the playground. 27. I resist peer pressure. 28. I disagree appropriately. 29. I accept No for an answer. 30. I accept criticism or consequences appropriately. Notes: 1 1 1 1 1 1 1 2 2 2 2 2 2 2 3 3 3 3 3 3 3 4 4 4 4 4 4 4 5 5 5 5 5 5 5

2010 Rhode, Jenson & Reavis

The Tough Kid Book R E P R O D U C I B L E 5 - 8 ( 2 o f 2 )