episcenter (pre): elementary student survey -------------------------------- elementary curriculum: teacher social competence rating s

EPISCenter
(PRE): ELEMENTARY STUDENT SURVEY
--------------------------------
ELEMENTARY CURRICULUM: TEACHER SOCIAL COMPETENCE RATING SCALE
A. Student ID (0001-9999)
B. Teacher ID (0100-9999)
C. Grade Level (1=First Grade, 2=Second Grade)
D. Sex of Child (0 = Male; 1 = Female)
E. Ethnicity of Child (0 = White; 1 = Black; 2 = Hispanic; 3 = Asian;
4 = Native American; 5 = Other)
PART 1
Compared to other (boys/girls) at this grade level, how often
does/is this child ________?
Almost Never
Rarely
Sometimes
Often
Very Often
Almost Always
A.
AGRESSION/DISRUPTIVE BEHAVIOR
1. Takes others’ property






2. Yells at others during conflicts






3. Fights






4. Is stubborn






5. Loses temper when there is a disagreement






6. Lies






7. Breaks classroom rules






8. Teases classmates






9. Harms others






10. Easily irritated when he/she has trouble with some task
(reading, math, etc)






11. Is disliked by classmates






12. Rejects limits set by adults






13. Stays excited or upset






PART 1
Compared to other (boys/girls) at this grade level, how often does/is
this child ________?
Almost Never
Rarely
Sometimes
Often
Very Often
Almost Always
14. Handles disagreements in a negative way






15. Gets angry when provoked by other children






A.
CONCENTRATION/ATTENTION
16. Works hard






17. Works through distractions






18. Concentrates






19. Stays on task






20. Pays attention






21. Maintains focus






22. Performs at grade level






B.
SOCIAL AND EMOTIONAL COMPETENCE
23. Feels at ease to talk to you






24. Shows empathy and compassion for others’ feelings






25. Is liked by classmates






26. Provides help, shares materials, and acts cooperatively with
others






27. Takes turns, plays fair, and follows rules of the game






28. Listens carefully to others






29. Initiates interactions and joins in with others in a positive
manner






30. Recognizes and labels his/her feelings and those of others
appropriately






Thank you for your time in evaluating PATHS.
Revised 6/2012: This document is adapted from the PATHS Evaluation Kit
Student Evaluation Part II by Carol A. Kusche, Ph.D, & Mark T.
Greenberg, Ph.D. published by Channing Bete Company, Inc.

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