Rate from 1 (significant challenge) to 5 (consistent strength). These ratings set a baseline — not a grade.
Task initiation 3
How readily does the student begin academic tasks without prompting or repeated cueing?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Planning 3
How well does the student map out steps and timelines for multi-step assignments?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Organization 3
How organized are the student's materials, workspace, and digital files?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Time management 3
How accurately does the student estimate time needed and meet deadlines?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Working memory 3
How reliably does the student hold multi-step instructions in mind during a task?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Self-monitoring 3
How well does the student check their own work and notice errors before submitting?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Emotional regulation 3
How well does the student manage frustration, stress, and setbacks within the school day?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Flexibility / shifting 3
How well does the student adapt when plans, expectations, or routines change?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Goal-directed persistence 3
How well does the student stick with long-term goals despite distractions or setbacks?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength
Self-advocacy 3
How effectively does the student ask for help, accommodations, or clarification?
1 2 3 4 5
1 — Significant challenge 5 — Consistent strength