http://www.hayskids.com/hayskids_054.htm This Is HaysKids's website describing the assisted living center as well as information about adoption and FASD. Wed, 15 Oct 2008 18:00:15 GMT Web Easy by Avanquest Publishing USA, Inc. http://www.hayskids.com/hayskids_054.htm http://www.hayskids.com/hayskids054p00.gif Evaluation Form Evaluate yourself in these areas. Others may rate you also. Rate yourself using the following scale. Number of incident reports ___________ 1 – Unacceptable 2 – Below average 3 – Average 4 – Above average 5 – Excellent Moral character: Being Nice, Honest, Trust-worthy, Self, Control, Motivation, Sexual Safety, Apologies ,How did you get along with your peers and adults SELF Communication skills, respectful eye contact, Impulse control, Respectful to others, Attitude, Admits mistakes, Not bickering, Obey rules, SELF Recognizing limitations and adapting, Positive self talk, On track to advance level, Appropriate dress, Leader-ship, Interaction with Holly Interaction with Hanna, SELF Comments: Job: Attitude, On time, Appropriate dress, Staying on task, Work done in a timely fashion, Prepared for work, Do extra work, On track to go up a level, Nice to be around, SELF Did you get along with your peers, Not bickering, Accept constructive feedback, Appropriate decisions, Strive for continuous improvement, SELF Comments: Education: Attitude, Staying on task, Work Done in, A timely fashion, Motivation ,Doing extra work, Prepared for class, Nice to be around, Strive for continuous improvement, SELF Comments: Life skills: Cooking, Cleanup, Money Management, PE, Job, On track to go up a level, Nice to be around, Keeping room Cleaned, Lights off at appropriate time, SELF Comments: What skills have you improved on? _______________________________________________________________________________________________________________________________________________________________________________________ List Other Skills You Are Working On? _______________________________________________________________________________________________________________________________________________________________________________________ Goals? _______________________________________________________________________________________________________________________________________________________________________________________ How have you done this week? What are you feeling (thinking journal)? (Great, discouraged, not sure etc.) _____________________________________________________________ __________________________________________________________________________________________________________________________ Do you want to move up a level – Yes or No? What would be the advantage? _____________________________________________________________ __________________________________________________________________________________________________________________________ Do you feel you should move up a level? ____________________________ __________________________________________________________________________________________________________________________ Do you feel that you should move up a level? Why or Why not? _______________________________________________________________________________________________________________________________________________________________________________________ Have you asked the team members what they think you need to do to move up? _________________________________________________________ __________________________________________________________________________________________________________________________ What do you need to do to move up? _______________________________ __________________________________________________________________________________________________________________________ What areas did they say you needed to work on? _____________________ _______________________________________________________________________________________________________________________________________________________________________________________ Other comments: ______________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________ http://www.hayskids.com/hayskids_054.htm Wed, 15 Oct 2008 18:00:15 GMT HaysKids is Created By HaysKids Assisted Living Center