Quest Program Request for Assessment and Parent Perception Form

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

Space Cell	Almost Always	Often	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: 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: 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: 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: 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: Seldom

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

Space Cell	Almost Always	Often	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: 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: 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: 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: 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: Seldom

19. This student demonstrates strong motivation through:

Space Cell	Almost Always	Often	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: 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: 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: 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: Seldom
Assuming leadership positions; directing others	Assuming leadership positions; directing others: Almost Always	Assuming leadership positions; directing others: Often	Assuming leadership positions; directing others: Seldom

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

Space Cell	Almost Always	Often	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: 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: 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: 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: 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: Seldom

25. If this student is recommended for the Quest program, does your family have an interest in transferring siblings to Parkside elementary to make this your family's elementary school? *This question is required.

• Yes
• No

26. Do you currently attend one of our BHM Schools? *This question is required.

• Yes
• No