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Forms

 

All forms are in .pdf format and require Adobe Reader.  Click to download Adobe Reader.

 

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Academic Problem Identification Checklists

 

Ideal for use during parent-teacher conferences, this form facilitates a working partnership about key areas of potential difficulty for academically at-risk students, K-12. It inventories 53 potential problems, clustered into eight areas: academic skills, attendance, attention control, comprehension, emotional control, problem solving, productivity, and social skills. Duplication of this form is permitted.

 

DOWNLOAD:  Academic Problem Identification Checklist (English Version


DOWNLOAD:  Academic Problem Identification Checklist (Spanish Version)

 

 

 

Classroom Daily Report Form

 

This form facilitates daily contact between the parent and the teacher. It allows convenient reporting of the key problems often encountered with at-risk students and includes provision for the teacher and parent to send additional messages and indicate receipt of the form. Behavior monitored on this form includes arrival with needed materials, on-task time, classroom participation and deportment, seat work and homework efficiency, overdue work still out, and homework assignments given. Duplication of this form is permitted.

 

DOWNLOAD:  Classroom Daily Report Form (English Version)

 

DOWNLOAD:  Classroom Daily Report Form (Spanish Version)
 

 

 

Fun Ideas List

 

Compiled over a ten-year period by Dr. John Taylor, this list gives about a hundred suggestions for fun things actually used by parents of hyperactive children to help any child stay entertained and out of mischief when boredom threatens. 

 

DOWNLOAD:  Fun Ideas List  (English Version)

 

 

Hyperactivity Screening Checklist

 

Of the screening checklists currently available for ADHD, this is one of the more user-friendly, convenient and versatile. It can be given orally and takes less than three minutes to administer. It applies to a wide age range (two through adult) and is so easy to understand that it can even be administered directly to the child (age 7 or above). This checklist is for initial quick screening only. Duplication of this form is permitted.

 

DOWNLOAD:  Hyperactivity Screeing Checklist (English Version)

 

DOWNLOAD:  Hyperactivity Screening Checklist (Spanish Version Part I)

 

DOWNLOAD:  Hyperactivity Screening Checklist (Spanish Version Part II)
 

 

 

Medication Effectiveness Report Form 
Parent Version

 

This form provides a convenient, accurate way for parents to report medication effects to the physician in order to facilitate dosage adjustment or selection of alternative medication. It assesses the intended effects and includes side effects with provision for reporting additional positive and negative effects. Use it weekly to help establish correct dosage, then periodically to check continued medication effectiveness. Duplication of this form is permitted.

 

DOWNLOAD:  Medication Effectiveness Report Form – Parent  (English Version)

 

DOWNLOAD:  Medication Effectiveness Report Form – Parent  (Spanish Version)
 

 

 

Medication Effectiveness Report Form 
Teacher Version

 

This form provides a convenient, accurate way for teachers to report medication effects to the physician in order to facilitate dosage adjustment or selection of alternative medication. It assesses the intended effects and includes side effects with provision for reporting additional positive and negative effects. Use it weekly to help establish correct dosage, then periodically to check continued medication effectiveness. Duplication of this form is permitted.

 

DOWNLOAD:  School Medication Effectiveness Report Form – Teacher  (English Version)

 

DOWNLOAD:  School Medication Effectiveness Report Form – Teacher  (Spanish Version)
 

 

 

Mistakes are Delicate

 

 

This form explains eight pieces of  wisdom about making mistakes, so children don't become perfectionistic.

 

DOWNLOAD:  Mistakes are Delicate (English Version)

 

DOWNLOAD:  Mistakes are Delicate (Spanish Version)
 

 

 

Social / Emotional / Academic Adjustment Checklist

 

This is an unnormed checklist for initial screening of social, emotional, or academic difficulties in any student (K-12). The teacher fills it out, usually in less than a minute, and scoring is immediate. The checklist screens for abnormalities in achievement concern, creative initiative, independence, alertness, attendance, comprehension, attention span, self-confidence, self-discipline, emotional control, relationships with peers and relationships with school staff. Duplication of this form is permitted.

 

DOWNLOAD:  Social / Emotional / Academic Adjustment Checklist (English Version)

 

DOWNLOAD:  Social / Emotional / Academic Adjustment Checklist (Spanish Version)
 

 

 

Super Strokes

 

Super strokes are statements and actions that tend to develop, maintain or enhance the child's experiencing of self worth, social impact, self-direction, or self-confidence.

 

DOWNLOAD:  Super Strokes (English Version)

 

DOWNLOAD:  Super Strokes (Spanish Version)
 

 

 

Taylor Math Grids

 

These grids are ideal for assisting any student who has visual perceptual, eye-hand or visual organizational difficulties resulting in trouble keeping columns of numbers vertical when doing math seat work or homework. Simply run off several pages and offer these grids in place of ordinary notebook paper. The student puts one digit in each square. The vertical pull of the Taylor Math Grids aids further in helping the student keep math columns straight. These grids are especially helpful with division and multiplication, which require the student to write digits diagonally across the paper, then add them up vertically.

 

DOWNLOAD:  Taylor Math Grids – Primary Version 

 

DOWNLOAD:  Taylor Math Grids – Advanced Version
 

 

 

Using the Best Learning Channel

 

Using the Best Learning Channel includes clues and teaching tips for visual, auditory, skin and muscle.

 

DOWNLOAD:  Using the Best Learning Channel (English Version)
 

DOWNLOAD:  Using the Best Learning Channel (Spanish Version)

 

 

 

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