Quest Teacher/Education Professional Perception Form

Page One

1. Student First Name *This question is required.

2. Student Last Name *This question is required.

5. Your Name *This question is required.

6. Contact Information (if not BHM Teacher)

Phone:
Email:

Comparing this student with other academically adept students, check the box which best describes the child. Cite examples whenever possible

7. This student demonstrates intense learning through: *This question is required.

Space Cell	Almost Always	Often	Occasionally	Seldom
Determination to complete assignments effectively and efficiently	Determination to complete assignments effectively and efficiently: Almost Always	Determination to complete assignments effectively and efficiently: Often	Determination to complete assignments effectively and efficiently: Occasionally	Determination to complete assignments effectively and efficiently: Seldom
Using advanced vocabulary, incorporating it into writing or conversation	Using advanced vocabulary, incorporating it into writing or conversation: Almost Always	Using advanced vocabulary, incorporating it into writing or conversation: Often	Using advanced vocabulary, incorporating it into writing or conversation: Occasionally	Using advanced vocabulary, incorporating it into writing or conversation: Seldom
Reading for information beyond the facts	Reading for information beyond the facts: Almost Always	Reading for information beyond the facts: Often	Reading for information beyond the facts: Occasionally	Reading for information beyond the facts: Seldom
Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations	Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations: Almost Always	Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations: Often	Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations: Occasionally	Acquiring new skills and concepts quickly; grasping underlying principles and making valid generalizations: Seldom
Exploring topics of personal interest beyond age level; becoming totally absorbed in an area or particular interest	Exploring topics of personal interest beyond age level; becoming totally absorbed in an area or particular interest: Almost Always	Exploring topics of personal interest beyond age level; becoming totally absorbed in an area or particular interest: Often	Exploring topics of personal interest beyond age level; becoming totally absorbed in an area or particular interest: Occasionally	Exploring topics of personal interest beyond age level; becoming totally absorbed in an area or particular interest: Seldom

8. Examples

9. This student demonstrates analytical thinking through: *This question is required.

Space Cell	Almost Always	Often	Occasionally	Seldom
An understanding of abstract or complex concepts	An understanding of abstract or complex concepts: Almost Always	An understanding of abstract or complex concepts: Often	An understanding of abstract or complex concepts: Occasionally	An understanding of abstract or complex concepts: Seldom
An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating	An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating: Almost Always	An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating: Often	An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating: Occasionally	An interest in challenging situations; approaching problems from varied perspectives; tackling difficult problems and issues which others may find frustrating: Seldom
A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless	A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless: Almost Always	A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless: Often	A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless: Occasionally	A sense of humor reflecting advanced understanding; seeing humor in situations others find humorless: Seldom
An awareness of relationships; using metaphors or analogies; making mental connections	An awareness of relationships; using metaphors or analogies; making mental connections: Almost Always	An awareness of relationships; using metaphors or analogies; making mental connections: Often	An awareness of relationships; using metaphors or analogies; making mental connections: Occasionally	An awareness of relationships; using metaphors or analogies; making mental connections: Seldom
A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion from others	A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion from others: Almost Always	A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion from others: Often	A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion from others: Occasionally	A willingness to take risks; showing confidence in answers and unafraid to substantiate an opinion from others: Seldom

10. Examples

11. This student demonstrates creative production through: *This question is required.

Space Cell	Almost Always	Often	Occasionally	Seldom
Fluency and Flexibility; generating ideas, adapting to new situations	Fluency and Flexibility; generating ideas, adapting to new situations: Almost Always	Fluency and Flexibility; generating ideas, adapting to new situations: Often	Fluency and Flexibility; generating ideas, adapting to new situations: Occasionally	Fluency and Flexibility; generating ideas, adapting to new situations: Seldom
Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products	Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products: Almost Always	Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products: Often	Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products: Occasionally	Originality; expressing the familiar in unusual ways, offering unique solutions to problems or questions; creating original products: Seldom
Elaboration; creating detailed projects; turning the simple into complex, adding details	Elaboration; creating detailed projects; turning the simple into complex, adding details: Almost Always	Elaboration; creating detailed projects; turning the simple into complex, adding details: Often	Elaboration; creating detailed projects; turning the simple into complex, adding details: Occasionally	Elaboration; creating detailed projects; turning the simple into complex, adding details: Seldom
Questioning; asking complex questions, utilizing a high level of inquiry and reflection	Questioning; asking complex questions, utilizing a high level of inquiry and reflection: Almost Always	Questioning; asking complex questions, utilizing a high level of inquiry and reflection: Often	Questioning; asking complex questions, utilizing a high level of inquiry and reflection: Occasionally	Questioning; asking complex questions, utilizing a high level of inquiry and reflection: Seldom
Social consciousness; concern for injustice, social issues, and moral question beyond age level	Social consciousness; concern for injustice, social issues, and moral question beyond age level: Almost Always	Social consciousness; concern for injustice, social issues, and moral question beyond age level: Often	Social consciousness; concern for injustice, social issues, and moral question beyond age level: Occasionally	Social consciousness; concern for injustice, social issues, and moral question beyond age level: Seldom

12. Examples

13. This student demonstrates strong motivation through: *This question is required.

Space Cell	Almost Always	Often	Occasionally	Seldom
Working well independently or is able to focus when given directions	Working well independently or is able to focus when given directions: Almost Always	Working well independently or is able to focus when given directions: Often	Working well independently or is able to focus when given directions: Occasionally	Working well independently or is able to focus when given directions: Seldom
Exceeding expectations; doing more than what is required	Exceeding expectations; doing more than what is required: Almost Always	Exceeding expectations; doing more than what is required: Often	Exceeding expectations; doing more than what is required: Occasionally	Exceeding expectations; doing more than what is required: Seldom
Working cooperatively as a team member; receptive to the ideas of others	Working cooperatively as a team member; receptive to the ideas of others: Almost Always	Working cooperatively as a team member; receptive to the ideas of others: Often	Working cooperatively as a team member; receptive to the ideas of others: Occasionally	Working cooperatively as a team member; receptive to the ideas of others: Seldom
Enthusiasm for assignments; completing assignments on time or prior to due date	Enthusiasm for assignments; completing assignments on time or prior to due date: Almost Always	Enthusiasm for assignments; completing assignments on time or prior to due date: Often	Enthusiasm for assignments; completing assignments on time or prior to due date: Occasionally	Enthusiasm for assignments; completing assignments on time or prior to due date: Seldom
Assuming leadership positions; directing others	Assuming leadership positions; directing others: Almost Always	Assuming leadership positions; directing others: Often	Assuming leadership positions; directing others: Occasionally	Assuming leadership positions; directing others: Seldom

14. To what extent: *This question is required.

Space Cell	Almost Always	Often	Occasionally	Seldom
This student needs curriculum and challenges beyond what is provided in a general education classroom.	This student needs curriculum and challenges beyond what is provided in a general education classroom.: Almost Always	This student needs curriculum and challenges beyond what is provided in a general education classroom.: Often	This student needs curriculum and challenges beyond what is provided in a general education classroom.: Occasionally	This student needs curriculum and challenges beyond what is provided in a general education classroom.: Seldom
To what extent is this student able to work independently on non-preferred tasks?	To what extent is this student able to work independently on non-preferred tasks?: Almost Always	To what extent is this student able to work independently on non-preferred tasks?: Often	To what extent is this student able to work independently on non-preferred tasks?: Occasionally	To what extent is this student able to work independently on non-preferred tasks?: Seldom
To what extent is this student able to work independently without teacher redirection?	To what extent is this student able to work independently without teacher redirection?: Almost Always	To what extent is this student able to work independently without teacher redirection?: Often	To what extent is this student able to work independently without teacher redirection?: Occasionally	To what extent is this student able to work independently without teacher redirection?: Seldom
To what extent does this student respond positively to academic challenge?	To what extent does this student respond positively to academic challenge?: Almost Always	To what extent does this student respond positively to academic challenge?: Often	To what extent does this student respond positively to academic challenge?: Occasionally	To what extent does this student respond positively to academic challenge?: Seldom

15. How does: *This question is required.

Space Cell	Independently	With minimal adult support	With moderate adult support	With extensive adult support
How does this student respond to stress?	How does this student respond to stress?: Independently	How does this student respond to stress?: With minimal adult support	How does this student respond to stress?: With moderate adult support	How does this student respond to stress?: With extensive adult support
How does this student respond to academic challenges?	How does this student respond to academic challenges?: Independently	How does this student respond to academic challenges?: With minimal adult support	How does this student respond to academic challenges?: With moderate adult support	How does this student respond to academic challenges?: With extensive adult support

16. How often is adult support typically needed in regards to the items above? *This question is required.

Approximately
Times per

17. Examples

Student Data and Interventions

18. Please include any applicable student data below:

Guided Reading Level
Guided Reading Level Date of Assessemnt
Oral Reading Fluency
Oral Reading Fluency Date of Assessment
Other relevent student data

19. Describe any enrichment or accommodations you have needed to make for this student:

20. Is there anything else that you want to share about this student?

21. Which best describes this student? *This question is required.

Space Cell	Knows the answers	Asks the questions
Please choose one	Please choose one: Knows the answers	Please choose one: Asks the questions

22. Which best describes this student? *This question is required.

Space Cell	Is interested	Is highly curious
Please choose one	Please choose one: Is interested	Please choose one: Is highly curious

23. Which best describes this student? *This question is required.

Space Cell	Is attentive	Is mentally and physically involved
Please choose one	Please choose one: Is attentive	Please choose one: Is mentally and physically involved

24. Which best describes this student? *This question is required.

Space Cell	Works hard	Plays around, yet tests well
Please choose one	Please choose one: Works hard	Please choose one: Plays around, yet tests well

25. Which best describes this student? *This question is required.

Space Cell	Answers the questions	Discusses in detail, elaborates
Please choose one	Please choose one: Answers the questions	Please choose one: Discusses in detail, elaborates

26. Which best describes this student? *This question is required.

Space Cell	Top group	Beyond the group
Please choose one	Please choose one: Top group	Please choose one: Beyond the group

27. Which best describes this student? *This question is required.

Space Cell	Listens with interest	Shows strong feelings and opinions
Please choose one	Please choose one: Listens with interest	Please choose one: Shows strong feelings and opinions

28. Which best describes this student? *This question is required.

Space Cell	Learns with ease	Already knows
Please choose one	Please choose one: Learns with ease	Please choose one: Already knows

29. Which best describes this student? *This question is required.

Space Cell	6-8 repetitions	1-2 repetitions for mastery
Please choose one	Please choose one: 6-8 repetitions	Please choose one: 1-2 repetitions for mastery

30. Which best describes this student? *This question is required.

Space Cell	Understands ideas	Constructs abstractions
Please choose one	Please choose one: Understands ideas	Please choose one: Constructs abstractions

31. Which best describes this student? *This question is required.

Space Cell	Enjoys peers	Prefers adults
Please choose one	Please choose one: Enjoys peers	Please choose one: Prefers adults

32. Which best describes this student? *This question is required.

Space Cell	Grasps the meaning	Draws inferences
Please choose one	Please choose one: Grasps the meaning	Please choose one: Draws inferences

33. Which best describes this student? *This question is required.

Space Cell	Completes assignments	Initiates projects
Please choose one	Please choose one: Completes assignments	Please choose one: Initiates projects

34. Which best describes this student? *This question is required.

Space Cell	Is receptive	Is intense
Please choose one	Please choose one: Is receptive	Please choose one: Is intense

35. Which best describes this student? *This question is required.

Space Cell	Copies accurately	Creates a new design
Please choose one	Please choose one: Copies accurately	Please choose one: Creates a new design

36. Which best describes this student? *This question is required.

Space Cell	Enjoys school	Enjoys learning
Please choose one	Please choose one: Enjoys school	Please choose one: Enjoys learning

37. Which best describes this student? *This question is required.

Space Cell	Absorbs information	Manipulates information
Please choose one	Please choose one: Absorbs information	Please choose one: Manipulates information

38. Which best describes this student? *This question is required.

Space Cell	Technician	Inventor
Please choose one	Please choose one: Technician	Please choose one: Inventor

39. Which best describes this student? *This question is required.

Space Cell	Good memorizer	Good guesser
Please choose one	Please choose one: Good memorizer	Please choose one: Good guesser

40. Which best describes this student? *This question is required.

Space Cell	Enjoys straightforward, sequential presentation	Thrives on complexity
Please choose one	Please choose one: Enjoys straightforward, sequential presentation	Please choose one: Thrives on complexity

41. Which best describes this student? *This question is required.

Space Cell	Is alert	Is keenly observant
Please choose one	Please choose one: Is alert	Please choose one: Is keenly observant

42. Which best describes this student? *This question is required.

Space Cell	Is pleased with own learning	Is highly self-critical
Please choose one	Please choose one: Is pleased with own learning	Please choose one: Is highly self-critical