The Lyceum LGCS

Class 11th C Teacher Name:-----------------------------

Statement Student Name

Ali Kamran Asad Iqbal M Arbaaz Subhan Zulaikha
1. Pays attention in class
3 2 2 2 3
2. Work well with other children
3 2 1 2 3
3. Attempts to do his/her work thoroughly and well, rather than
just trying to get by 3 1 1 1 3
4. Acts restless, is unable to sit still
1 3 1 3 1
5. Participates actively in discussions
3 1 1 1 3
6. Completes assigned seatwork
3 1 1 1 3
7. Needs to be reprimanded
3 3 2 2 1
8. Annoys or interferes with peers’ work
1 2 1 2 1
9. Is positive when confronted with difficult problems 2 1 1 1 1
10. seem to know what is going on in class
1 2 2 2 3
11. Is withdrawn, uncommunicative
2 2 3 2 2
12. Approaches new assignments with sincere effort
3 1 1 1 3
13. Ask questions to get more information
3 1 1 1 3
14. Talks with classmates too much
1 3 1 3 1
15. Doesn’t take independent initiative, must be helped to get
started and kept going on work 1 3 3 3 1
16. Tries to finish assignments even when they are difficult
3 1 1 1 3
17. Raises his/her hand to answer a question or volunteer
information 3 1 1 2 3
18. Gets discouraged and stops trying when encounter an obstacle
in schoolwork; is easily frustrated 1 3 2 2 1
KEY NEVER.....1 SOMETIMES....2 Always....3 Branch Head Sign:------------------------------- Teacher’s
sign:------------------------------

Suggested measures

 Counseling
 Monitoring
 Motivation
 Meeting
 Follow up
 IEPS