Learning Stages Assessment
Name
*
First
Last
Email where we can reach you
*
Phone number where we can reach you
The first stage of learning – Motivation
*
Place a check next to each of the following questions that apply to your child.
Avoids doing homework
Is happy to 'just get by'
Says school is "stupid"
Doesn't want to learn
Doesn't want to go to school
None of the above
The second stage of learning – Learn how to learn
*
Place a check next to each of the following questions that apply to your child.
Has been struggling for more than a year
Needs help in more than one subject
Tries hard but makes little progress
Is anxious and upset about their lack of learning
Nothing you do seems to work
None of the above
The third stage of learning – Make School Make Sense
*
Place a check next to each of the following questions that apply to your child.
Changed schools recently
Has moved from primary to intermediate or intermediate to high school
got lower grades this year than last
likes some teachers more than others
You know that your child could do better
None of the above
The fourth learning stage – Moving to Mastery
*
Place a check next to each of the following questions that apply to your child.
Bored at school
Needs help with a specific subject
Needs to prepare for a test or exam
Has missed some lessons
Wants some extra support
None of the above
Phone
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