Name: __________________________________ 1 2 3 4 5

Very weak Poor Mediocre Good Excellent

Class: ________________________

RATING RATING BY
ASPECTS COMMENT COMMENT BY SCH TEACHER
SCALE SCH TEACHER

Confidence 1 2 3 4 5 1 2 3 4 5

Involvement 1 2 3 4 5 1 2 3 4 5

Communication 1 2 3 4 5 1 2 3 4 5

Interactive 1 2 3 4 5 1 2 3 4 5

Leadership 1 2 3 4 5 1 2 3 4 5

Attitude 1 2 3 4 5 1 2 3 4 5
 CHECKLIST

/ 
Item Never/Sometimes/ Notes
All the time
Handles sudden changes/ startling
situations with control
Displays eye-to-eye contact when
communicating with others
Displays confidence when talking to peers &
teachers

Eagerly accepts and assumes responsibility

Energetically approaches new assignments,

experiences, and challenges
Shows interest/ attention in classroom
activities
Gains access /maintains roles in ongoing
play with positive manner
Follow simple rules of games, to take turns
& cooperate in play situations
Is able to relate and to work effectively with
peers/ teachers
Use the word “please”, “excuse me” and
“thank you” at the appropriate times

Treats other politely/ courteously

Can express anger in words rather than

actions

Allows aggressive behavior to be redirected

Displays a cheerful, happy, courteous, and

positive attitude in working with peers
Resolves conflict during activities in
positive manner

Initiates activities/play with others

Follows classroom/school regulations and

rules

Smiles, seems happy much of the time

Shows concern for others in distress

Willings to share something with others

Helps / cares for others in need

Allows self to be comforted when unhappy

Eats, sleeps, toilets without fuss away from

home
Displays strong positive bonding when
interacting or describing relationships with
parents