Classroom Student Interview

Student______Date______Interviewer______

Section I

Curriculum and Instructional Issues

(Circle the best response. A=Always, S=Sometimes, N=Never. Record any extra probes/responses)

1. In general, is your work too hard for you? A S N ______

2. In general, is your work too easy for you? A S N ______

3. When you ask for help appropriately, do you get it? A S N ______

4. Do you think work periods for each task are too long? A S N ______

5. Do you think work periods for each task are too short? A S N ______

6. When you do seatwork, do you do better with someone? A S N ______

7. Do you think people notice when you do a good job? A S N ______

8. Do you think you get what you deserve when you do

good work? A S N ______

9. Do you think you would do better in school if you

received more rewards? A S N ______

10. In general, do you find your class work interesting? A S N ______

11. Are there things in the classroom that distract you? A S N ______

12. Do you understand the directions for assignments? A S N ______

13. Do you know how the teacher expects you to behave? A S N ______

14. Do you have opportunities to make choices in school? A S N ______

15. Does your teacher let you know how you are doing? A S N ______

Section II

Behavior Issues

1. When do you think you have the fewest behavior problems in school? ______

Why?______

2. When do you think you have the most behavior problems in school? ______

Why?______

3. What changes could be made so you would have fewer behavior problems? ______

______

4. What kind of rewards would you like to earn for good behavior or good school work?

______

5. What are your favorite activities at school? ______

6. What things are you interested in? (e.g. hobbies) ______

______

7. What do you like to do in your free time? (home/school) ______

______

Comments______

______

______

Section III

Subject Preference/Commentary

(Rate how much you like the following subjects and comment on what you like/dislike about them.)

Not at all Some Very much Like Dislike

Reading / 1 / 2 / 3 / 4 / 5
Math / 1 / 2 / 3 / 4 / 5
Spelling / 1 / 2 / 3 / 4 / 5
Handwriting / 1 / 2 / 3 / 4 / 5
Science / 1 / 2 / 3 / 4 / 5
Social Studies / 1 / 2 / 3 / 4 / 5
English / 1 / 2 / 3 / 4 / 5
Music / 1 / 2 / 3 / 4 / 5
P.E. / 1 / 2 / 3 / 4 / 5
Computers / 1 / 2 / 3 / 4 / 5
Art / 1 / 2 / 3 / 4 / 5
Other______/ 1 / 2 / 3 / 4 / 5

Section IV

Learning Styles

(Underline the ending that best completes the sentence to make it true for you.)

try to see the word.

When I spell a word, I sound out the word.

write it down to see if it seems right.

say only a few words.

When I talk, do I want to talk right away so I can share my thoughts.

gesture (e.g. use my hands).

clutter/stuff around me.

When I try to concentrate, I am distracted by sounds/noises.

things going on around me.

watch TV.

In my free time I am most likely to listen to the radio.

“do” something (e.g. ride bikes, draw, play ball).

seeing demonstrations, pictures.

When I learn something new, I prefer hearing verbal instructions/talking explanations.

trying it myself.

show them how it is done.

When I teach someone how to do something, I tell them how to do it.

have them watch me, them have them try it.

ãDARES/CFS/FMHI/USF

ClassroomStudentInterview