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Instructions: To be
completed by parent or guardian
Name of Student:
_______________________________________ Date:
______________________
Directions:
Please answer each of the questions below in terms
of your child's organizational skills and return
the form to me.
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ITEM
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NEVER
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RARELY
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SOMETIMES
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OFTEN
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ALWAYS
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My child misplaces or
loses school work or homework.
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My child misplaces or
loses his or her personal possessions, including
favorite belongings.
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My child allows
enough time to complete tasks or jobs.
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My child can shift or
switch easily between activities.
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My child packs up
their school bag independently and
correctly.
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My child has
responsibilities in the home.
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My child meets their
responsibilities in the home without
reminders.
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My child seems to
leave everything until the last minute.
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My child makes social
plans with peers in advance.
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My child starts
activities or projects but doesn't finish
them.
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My child can break a
big school project or school essay into smaller
units without my help.
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My child resists
writing any essay or longer paper.
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My child has trouble
getting started on activities without
assistance.
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