Teacher Evaluation

Your Name *

First Name

Last Name

Student Name: *

First Name

Last Name

Parent Name: *

First Name

Last Name

Plays cooperatively *

Usually

Sometimes

Seldom

Shares toys, takes turns *

Usually

Sometimes

Seldom

Initiates play activities *

Usually

Sometimes

Seldom

Uses material purposely *

Usually

Sometimes

Seldom

Exhibits independence *

Usually

Sometimes

Seldom

Responds positively to correction *

Usually

Sometimes

Seldom

Follows rules *

Usually

Sometimes

Seldom

Cries/has temper tantrums when things do not go their way *

Usually

Sometimes

Seldom

Gets upset when separated from parents/guardians *

Usually

Sometimes

Seldom

Aggressive when engaging with other students *

Usually

Sometimes

Seldom

Hostile towards teachers *

Usually

Sometimes

Seldom

Confident *

Usually

Sometimes

Seldom

Even-tempered *

Usually

Sometimes

Seldom

Happy child *

Usually

Sometimes

Seldom

Shy, reserved *

Usually

Sometimes

Seldom

Small muscle control and coordination *

Usually

Sometimes

Seldom

Large muscle control and coordination *

Usually

Sometimes

Seldom

Speech development (articulation) *

Usually

Sometimes

Seldom

Takes care of personal needs *

Usually

Sometimes

Seldom

Can sit, listen, and follow an adult-directed task for 10-15 minutes or longer *

Usually

Sometimes

Seldom

Have you observed any signs of learning disabilities/special needs? * *

Yes

No

Does this student receive any special accommodations? * *

Yes

No

Parent involvement: * *

High

Average

Seldom

Not Involved

Parent cooperation: * *

Very Cooperative

Usually Cooperative

Not Cooperative

Please check one of the following: * *

I highly recommend

I recommend

I recommend with reservation

I do not recommend

Phone *

(###)

###

####