General Education Teacher Questionnaire
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1South Bend Community School Corporation
Special Education Services
General Education Teacher Questionnaire
Student Name: __________________________ Grade: _________ Teacher: ___________________________
Please complete this questionnaire and return to ______________________ by _________________________
The information below is being sought for the development of an IEP for this student. Your input is very important,
and will help to develop an appropriate IEP.
General Questionnaire
Poor
Below Avg
Average
Above Avg
1. Do you think the student’s current
Attendance
services are appropriate? If not, what do
you suggest?
Consistent Daily
Performance
Peer
Relationships
2. What, if any, additional information is
Stays on Task
needed to help you in the classroom?
Displays Self
Confidence
Controls
Impulsivity
3. What accommodations work best for this
student in your classroom?
Uses Time
Effectively
Adapts to
Change
Follows School
Rules
4. Student work habits (takes responsibility,
Follows
completes assignments, etc.)
Classroom Rules
Accepts
Discipline
Class
5. Social/Interpersonal Skills (with peers
Participation
and teachers):
Listening Skills
Verbal Skills
6 What do you feel are this student’s
strengths?
Follows Oral
Directions
Other:
Weaknesses?
Other:
Add any additional comments on back.
8/6/10
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0 votes
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