Student Normalization Assessment Form
Please complete this form to assess the student's adaptation and normalization within the school environment.
Student Name
*
First Name
Last Name
Grade / Class
*
Homeroom Teacher
*
Date of Assessment
*
-
Month
-
Day
Year
Date
Please rate the student's adjustment in the following areas:
*
Rows
Not at all adjusted
Somewhat adjusted
Well adjusted
Exceptionally well adjusted
Attendance and punctuality
1
2
3
4
Following classroom routines
5
6
7
8
Interaction with peers
9
10
11
12
Participation in class activities
13
14
15
16
Adherence to school rules
17
18
19
20
How does the student respond to transitions (e.g., moving between activities or classes)?
*
Has difficulty with transitions
Requires occasional support
Transitions smoothly
Other
How would you rate the student's engagement in learning activities?
*
1
2
3
4
5
Does the student exhibit positive social behaviors (e.g., sharing, cooperation, respect)?
*
Rarely
Sometimes
Often
Always
Emotional Adjustment: Please rate the following aspects for the student.
*
Rows
Never
Rarely
Sometimes
Often
Always
Appears happy at school
21
22
23
24
25
Manages frustration appropriately
26
27
28
29
30
Seeks help when needed
31
32
33
34
35
Shows confidence in new situations
36
37
38
39
40
Are there any areas where the student requires additional support?
*
Academic skills
Social skills
Emotional regulation
Behavioral adjustment
None identified
Other
Additional comments or observations about the student's normalization process:
Assessor's Name
*
Submit Assessment
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