2nd Grade Baseline Assessment Questionnaire Form
This form collects baseline learning information for a 2nd grade student. Please answer each question to the best of your knowledge.
Student's First and Last Name
*
First Name
Last Name
How confident are you in reading grade-level books?
*
1
2
3
4
5
Which best describes your comfort with basic addition and subtraction?
*
Very comfortable
Somewhat comfortable
Needs practice
Not comfortable
How often do you enjoy reading outside of school?
*
Every day
A few times a week
Rarely
Never
Please rate your interest in math activities.
*
Not interested
1
2
3
4
Very interested
5
1 is Not interested, 5 is Very interested
How well do you work in a group with classmates?
*
Very well
Well
Needs improvement
I prefer to work alone
How often do you finish your assignments on time?
*
Always
Most of the time
Sometimes
Rarely
Please rate your ability to focus during lessons.
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How do you feel about writing short stories or sentences?
*
I enjoy it
It's okay
I need help
I do not enjoy it
Please indicate how much you agree with the following statements.
*
Rows
Strongly Disagree
Disagree
Agree
Strongly Agree
I ask for help when I need it
1
2
3
4
I like to learn new things
5
6
7
8
I try my best at school
9
10
11
12
Submit
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