<Repeated for each child in the SSRS sample>

Part B.

The next nine items (49-57) require your judgments of this student’s academic or learning behaviors as observed in your classroom. Compare the student with other children who are in the same classroom.

Rate all items using a scale of 1 to 5. Mark the number that best represents your judgment. The number 1 indicates the lowest or least favorable performance, placing the student in the lowest 10% of the class. Number 5 indicates the highest or most favorable performance, placing the student in the highest 10% compared with other students in the classroom.

	Lowest 10%	Next Lowest 20%	Middle 40%	Next Highest 20%	Highest 10%
49. Compared with other children in my classroom, the overall academic performance of this child is:	1¨	2¨	3¨	4¨	5¨
50. In reading, how does this child compare with other students?	1¨	2¨	3¨	4¨	5¨
51. In mathematics, how does this child compare with other students?	1¨	2¨	3¨	4¨	5¨
52. In terms of grade-level expectations, this child’s skills in reading are:	1¨	2¨	3¨	4¨	5¨
53. In terms of grade-level expectations, this child’s skills in mathematics are:	1¨	2¨	3¨	4¨	5¨
54. This child’s overall motivation to succeed academically is?	1¨	2¨	3¨	4¨	5¨
55. This child’s parental encouragement to succeed academically is?	1¨	2¨	3¨	4¨	5¨
56. Compared with other children in my classroom this child’s intellectual functioning is:	1¨	2¨	3¨	4¨	5¨
57. Compared with other children in my classroom this child’s overall classroom behavior is:	1¨	2¨	3¨	4¨	5¨

< Repeated for each child in the SSRS sample>

[1] If bubble font is used in this survey administration, “mark” will be replaced with “bubble in”.

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