









TICK ONE BOX ON EVERY ROW
TICK ONE BOX ON EVERY ROW
TICK ONE BOX ON EVERY ROW
- | |
---|---|
1 - Not true 2 - Is somewhat true 3 - Very true |
|
Is considerate of other people's feelings | |
Is restless, overactive, cannot stay still for long | |
Often complains of headaches, stomach aches or sickness | |
Shares readily with other children (treats, toys, pencils etc.) | |
Often has temper tantrums or hot tempers | |
Is rather solitary, tends to play alone | |
Is generally obedient, usually does what adults request | |
Has many worries, often seems worried | |
Is helpful if someone is hurt, upset or feeling ill | |
Constantly fidgets or squirms | |
Has at least one good friend | |
Often fights with other children or bullies them | |
Is often unhappy, down-hearted or tearful | |
Is generally liked by other children | |
Is easily distracted, concentration wanders | |
Is nervous or clingy in new situations, easily loses confidence | |
Is kind to younger children | |
Often lies or cheats | |
Is picked on or bullied by other children | |
Often volunteers to help others (parents, teachers, other children) | |
Thinks things out before acting | |
Steals from home, school or elsewhere | |
Gets on better with adults than with other children | |
Has many fears, is easily scared | |
Sees tasks through to the end, good attention span |
TICK ONE BOX ON EVERY ROW
- | |
---|---|
1 - Yes 2 - No |
|
Dyslexia | |
Learning difficulties (including dyspraxia / dyscalculia) | |
Attention Deficit and Hyperactivity Disorder (ADHD) | |
Autism, Asperger's syndrome or autistic spectrum disorder | |
Behavioural problems / hyperactivity | |
Problem with speech or language | |
Problem with sight | |
Problem with hearing | |
Other physical disability | |
Medical or health problem | |
Mental illness / depression | |
Gifted/High IQ/More able and talented/Highly able |
Does this child get any of the following types of help or support at school due to a health or behavioural problem or disability?
TICK ALL THAT APPLY
Thinking about this child's friends in their class, are these friends...
TICK ONE BOX ONLY

How interested would you say this child's parents or parent figures appear to be in his or her education? Mother or Mother-figure
TICK ONE BOX ON EVERY ROW
How interested would you say this child's parents or parent figures appear to be in his or her education? Father or Father-figure
TICK ONE BOX ON EVERY ROW











This term, did this child's class get regular support from any of these? (By regular we mean at least once a week for most of the term)
TICK ALL THAT APPLY

Which of the qualifications listed below do you have?
TICK ALL THAT APPLY


mcs5_teacher_survey
About the Child
This question asks you to rate some aspects of this child's ability and attainment. In so far as your professional experience will allow, please rate this child in relation to all children of this age (i.e. not just their present class or, even, school).
- | |
---|---|
1 - Well above average 2 - Above average 3 - Average 4 - Below average 5 - Well below average |
|
English | |
Maths | |
Science | |
Art and Design | |
Music | |
Physical Education (PE) | |
Information and Communication Technology (ICT) |
This question asks about this child's attitude to school. How often does this child...
- | |
---|---|
1 - Always 2 - Usually 3 - Sometimes 4 - Never |
|
...seem to enjoy school? | |
...seem bored by school? | |
...try their best at school? | |
...misbehave or cause trouble in class? | |
...hand their homework in late? |
Please think about this child's behaviour over the last 6 months if you can. For each of the following statements please say whether it is not true, somewhat true or certainly true of the child's behaviour.
- | |
---|---|
1 - Not true 2 - Is somewhat true 3 - Very true |
|
Is considerate of other people's feelings | |
Is restless, overactive, cannot stay still for long | |
Often complains of headaches, stomach aches or sickness | |
Shares readily with other children (treats, toys, pencils etc.) | |
Often has temper tantrums or hot tempers | |
Is rather solitary, tends to play alone | |
Is generally obedient, usually does what adults request | |
Has many worries, often seems worried | |
Is helpful if someone is hurt, upset or feeling ill | |
Constantly fidgets or squirms | |
Has at least one good friend | |
Often fights with other children or bullies them | |
Is often unhappy, down-hearted or tearful | |
Is generally liked by other children | |
Is easily distracted, concentration wanders | |
Is nervous or clingy in new situations, easily loses confidence | |
Is kind to younger children | |
Often lies or cheats | |
Is picked on or bullied by other children | |
Often volunteers to help others (parents, teachers, other children) | |
Thinks things out before acting | |
Steals from home, school or elsewhere | |
Gets on better with adults than with other children | |
Has many fears, is easily scared | |
Sees tasks through to the end, good attention span |
Are any of the following the reason or reasons for this child's Special Educational Needs (SEN)?
- | |
---|---|
1 - Yes 2 - No |
|
Dyslexia | |
Learning difficulties (including dyspraxia / dyscalculia) | |
Attention Deficit and Hyperactivity Disorder (ADHD) | |
Autism, Asperger's syndrome or autistic spectrum disorder | |
Behavioural problems / hyperactivity | |
Problem with speech or language | |
Problem with sight | |
Problem with hearing | |
Other physical disability | |
Medical or health problem | |
Mental illness / depression | |
Gifted/High IQ/More able and talented/Highly able |
The Child's Parents
Streaming and Setting
Streaming: grouping children by general ability
Setting: grouping children by ability for certain subjects
The Child's Class
About You
MCS Age 11 Teacher Paper Questionnaire