Caddra Teacher Assessment Form printable pdf download

Caddra Teacher Assessment Form

Patient Name:

Date of Birth:

MRN/File No:

Physician Name:

Date:

CADDRA teacher Assessment Form

Adapted from Dr Rosemary Tannock's Teacher Telephone Interview.

Reprinted for clinical use only with permission from the BC Provincial ADHD Program.

Student's Name:

Age:

Sex:

School:

Grade:

Educator completing this form: ____________________________________ Date completed: ______________________

How long have you known the student? _________________ Time spent each day with student: ___________________

Student's Placement: ___________________________________ Special Ed:

Yes

No Hrs per week: __________

Student's Educational Designation: ___________________________________________________________

None

Does this student have an educational plan?:

Yes

Well Below

Somewhat Below

At Grade

Somewhat Above

Well Above

ACADemiC PeRFoRmAnCe

Grade Level

Level

Grade Level

n/a

READING

a) Decoding

b) Comprehension

c) Fluency

WRITING

d) Handwriting

e) Spelling

f) Written syntax (sentence level)

g) Written composition (text level)

MATHEMATICS

h) Computation (accuracy)

i) Computation (fluency)

j) Applied mathematical reasoning

Well Below

Well Above

ClAssRoom PeRFoRmAnCe

Average

Below Average

Average

Above Average

Average

n/a

Following directions/instructions

Organizational skills

Assignment completion

Peer relationships

Classroom Behaviour

Toolkit

8.31

CADDRA TEACHER ASSESSMENT FORM 1/3

Caddra Teacher Assessment Form

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