Assessment-Driven Instruction Planning Checklist
Use this checklist to guide your instructional planning based on assessment data and best practices.
Teacher Name
*
First Name
Last Name
Class/Grade Level
*
Subject Area
*
Assessment Data Reviewed
*
Formative Assessments
Summative Assessments
Standardized Test Scores
Classroom Observations
Student Work Samples
Other
How do you use assessment data to inform your instructional planning?
*
Rows
Never
Rarely
Sometimes
Often
Always
Identify learning gaps
1
2
3
4
5
Adjust lesson objectives
6
7
8
9
10
Plan differentiation
11
12
13
14
15
Modify instructional strategies
16
17
18
19
20
How do you group students for instruction based on assessment results?
*
Homogeneous Groups (similar ability)
Heterogeneous Groups (mixed ability)
Flexible Grouping (changes based on need)
Individualized Instruction
Other
Rate the extent to which you differentiate instruction based on assessment data.
*
1
2
3
4
5
What types of interventions do you plan for students not meeting expectations?
*
Small group instruction
One-on-one support
Peer tutoring
Supplemental materials
Parental involvement
Other
How do you monitor student progress after instructional adjustments?
*
Rows
Not at all
Rarely
Sometimes
Often
Consistently
Frequent formative assessments
21
22
23
24
25
Student self-assessment
26
27
28
29
30
Peer assessment
31
32
33
34
35
Review of work samples
36
37
38
39
40
What challenges do you face in using assessment data for instruction planning?
Additional notes or comments
Next Steps or Action Plan
Submit Checklist
Should be Empty: