Work Behaviors Rating Form

Student:_________________________________________________________________

date:____________________________________________________________________

task(s):___________________________________________________________________

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Work Behaviors 1 = poor , 2 = fair but inconsistent , 3 = satisfactory , 4 = excellent,
5 = not applicable/not observed
___ pays attention to work
___ completes task with accuracy
___ demonstrates ability to follow a routine
___ retains directions over time
___ responds appropriately to redirection
___ changes from one activity to another without difficulty
___ accepts changes in established routine
___ willing to redo tasks
___ demonstrates initiative in the absence of directions
___ is independent (can work without supervision)
___ checks quality of work
___ demonstrates appropriate use of work materials
___ uses appropriate language
___ maintains good behavior
___ separates personal and work issues
___ appropriate dress for work environment
___ demonstrates appropriate hygiene
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Comments: (any behavioral, health etc. issues that effected job performance)
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staff signature-___________________________________________________________
Paula's Special Education Resources
School to Work
Vocational