Teacher Evaluation Form

Puget Sound Behavioral Medicine

2731 77

Ave SE, Suite 202

Mercer Island, WA 98040

Phone/FAX: 206-275-0702

TEACHER EVALUATION FORM

DATE___________

STUDENT NAME _________________

SCHOOL___________________

TEACHER ______________________

CLASS_____________________

PHONE # _______________________

TIME OF CLASS_____________

Please comment on any of the following statements. Thank you!

1. Reminders to work independently:

2. Reminders to finish work:

3. Distracting others:

4. Having a hard time sitting still:

5. Does not understand or follow through on directions:

6. Sleepiness or tuned out of learning situations:

7. Impulsive behavior:

8. Learning problems:

OTHER COMMENTS:

0 votes

Parent category: Business