Communication
1. When your student tries to explain an idea or tell you about
an event is the communication fragmented and incomplete?
Choose an answer
* Yes
* No
2. When your student is trying to tell you something, does he or she
have trouble knowing or finding the right words?
Choose an answer
* Never an issue
* Rarely happens
* Sometimes happens
* Frequently happens
3. When frustrated about communication, my student says things like,
"Never mind! Whatever! I wish I'd never brought it up!"
Choose an answer
* Yes
* No
4. My student has trouble following directions
Choose an answer
* Rarely
* Occasionally
* Usually, anything beyond two or three steps
5. My student
Choose an answer
* Has many friends
* Makes friends easily, but has trouble maintaining friendships,
* Has few friends,
* Has almost no friends
6. Does your student now (before beginning IdeaChain) have your exclusive
attention for 30 to 45 minutes a day several days a week?
Choose an answer
* Yes
* No
7. My student's attitude toward doing MindPrime's IdeaChain program
is
Choose an answer
* Eager
* Willing
* Neutral
* Reluctant
* Resistant
Homework
8. (Check all that apply.) For our family, homework
Is initiated by the student willingly
Takes all evening
Ends up with tantrum type behavior
Ends with everyone angry or hopeless or both
Is the focus of the entire evening
We take up half the time trying to figure out what the homework is,
retrieving books from school or calling the teacher or friends
9. (Check all that apply.) My student works on homework
Independently. It is usually complete, correct and the student hands
it in.
Independently and I check the work.
Only with my help, but works willingly.
Only with my help and I have to press the issue to get started and
to finish.
Frequently refuses to do homework or says he or she has none (when
there is some.)
Regularly doesn’t bring home materials needed to do homework.
We work until the whole process dissolves into a battle and we all
throw in the towel.
10. (Check all that apply.) When we (or just the student) finish homework
in the evening, generally, my student
Understands and can apply what we learned.
Has been hand carried through it and doesn’t really understand what
we did.
We frequently don’t get it all done.
My student may not hand it in.
11. Homework usually takes
Choose an answer
* 15 min.
* 30 - 45 minutes
* 1 - 2 hours
* 3 - 4 hours
* More than 4 hours
Attitudes
12. My student gets frustrated
Choose an answer
* Only after much persistence in trying to solve a problem
* After a reasonable amount of time
* Very easily
13. My student's frustration tolerance is such that when he or she
gets frustrated
Choose an answer
* The student continues to work and problem solve for a
healthy amount of time.
* The student answers anything off of the top of the head
just to fill in all the
questions or problems and be done. It is OK if it’s wrong.
* The student will continue with some coaxing, but seems
very discouraged or angry about it.
* The student shuts down and that is the end of it. He
or she cannot be made to continue.
* The student shuts down and cannot be made to continue.
There is usually an
overt display of behavior such as crying or angry outbursts.
14. My student's attitude toward school is
Choose an answer
* Very positive
* Neutral
* Doesn’t like school
* Hates school
* Sometimes refuses to go to school
15. My attitude toward my student's homework is
Choose an answer
* I enjoy it
* Neutral
* I dread it
Reading
16. My student reads words and passages
Choose an answer
* Fluently, at grade level or above
* Fluently, if text is below grade level
* Not fluently, and below grade level
* Struggles with knowing the words, even well below grade
level
17. If your student SILENTLY read a paragraph of five to eight sentences,
how much would he or she remember and be able to express to you in
words?
Choose an answer
* Would know the main idea and could express it .
* Might remember some parts, but would not have the whole
idea.
* Would not understand what it was about.
18. If your student reads ALOUD a paragraph of five to eight sentences,
how much would he or she remember and be able to express to you in
words?
Choose an answer
* Would know the main idea and could express it .
* Might remember some parts, but would not have the whole
idea.
* Would not understand what it was about.
19. If YOU READ a paragraph of five to eight sentences TO your student,
how much would he or she remember and be able to express to you in
words?
Choose an answer
* Would know the main idea and could express it .
* Might remember some parts, but would not have the whole
idea.
* Would not understand what it was about.
Other Schoolwork
20. My student tends to work
Choose an answer
* Slowly
* Average speed
* Does everything at lightening speed, even if he or she
does not understand
the directions. Many times errors are due to flying through
things.
21. My student's spelling is usually
Choose an answer
* Very good, 90 - 100%
* Good, 80 - 90%
* Average, 70 - 80%
* Failing, below 70%
22. (Check all that apply.) When your student has to write down his
or her thoughts for an assignment, an essay, a research paper, etc.
The student can write down his or her thoughts easily.
Has moderate difficulty writing down thoughts, but can do it OK.
This is the most difficult task my student has to do in school.
Even after we have talked through the ideas, my student has a terrible
time writing it down.
My student’s writing is bare bones. There is little description and
sentences are frequently tied together with “And then they… And then
they… And then they….” (or something similar.)
Time
23. Generally, these behavior patterns have been occurring for
about
Choose an answer
* Less than a year
* For only the last year
* The last 2 - 3 years
* More than 3 years