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Self-Assessment

Attention! This survey is to be filled out only by students accepted to the Learning Disabilities Support Program.

This informal self-assessment will give you an opportunity to reflect on your learning style. It will also help your Learning Disability Specialist get to know your learning strengths and weaknesses so, together, you can plan strategies for success.

* indicates required field

*Name:
*Address:
*City:
*State: *Zip:

Time Management/Organization

  1. I complete daily assignments on time.
    Yes No
  2. I plan steps for a project.
    Yes No
  3. I start a project on time.
    Yes No
  4. I complete a project on time.
    Yes No
  5. I know the best study environment for me.
    Yes No
  6. I know how much time I will need to spend daily on coursework.
    Yes No
  7. I know how long I should allow for daily studying.
    Yes No
  8. I know the time needed to get ready for a task.
    Yes No
  9. I know the time needed to learn new skills.
    Yes No
  10. I am comfortable asking for advice.
    Yes No

Comments:

Reading

  1. I understand information in print the first time I read it.
    Yes No
  2. I ask myself questions as I read.
    Yes No
  3. I summarize after I read.
    Yes No
  4. I find main ideas when I read.
    Yes No
  5. I pick out important supporting details.
    Yes No
  6. I skim for a general overview.
    Yes No
  7. I scan for key words and vocabulary.
    Yes No
  8. I recognize information I have read when it appears in another way.
    Yes No
  9. I remember information I have read.
    Yes No
  10. I convert what I have read into my own words.
    Yes No
  11. I read for pleasure.
    Yes No
  12. I integrate new information with what I already know.
    Yes No
  13. I demonstrate my knowledge on tests that require reading (i.e., SAT, achievement tests, etc.).
    Yes No

Comments:

Writing

  1. I use my notes when writing a paper.
    Yes No
  2. I am able to organize my ideas.
    Yes No
  3. I edit my own work.
    Yes No
  4. I write using correct grammar.
    Yes No
  5. I write using proper spelling.
    Yes No
  6. I can write a research paper.
    Yes No
  7. I can speak my ideas better than I can write them.
    Yes No

Comments:

Writing and Technology

  1. I can keyboard (type) efficiently.
    Yes No
  2. I can write a paper using a work processor.
    Yes No
  3. I am fluent using:
    Microsoft Word
    Yes No

    Wordsmith
    Yes No

    Dragon Naturally Speaking
    Yes No

    Kurzweil 3000
    Yes No

    Other:
  4. I use a hand-held spell checker.
    Yes No
  5. I add frequently used words to my spell check program.
    Yes No
  6. I have found software that helps me locate the words I am trying to use.
    Yes No

Comments:

Notetaking

  1. I understand what I hear.
    Yes No
  2. I shut out distractions.
    Yes No
  3. I stay focused for a class period.
    Yes No
  4. I am able to write while I listen.
    Yes No
  5. I write fast enough to keep up with the lecturer.
    Yes No
  6. I copy notes accurately from an overhead or the board.
    Yes No
  7. I know various notetaking methods that will work for me.
    Yes No
  8. I pick out the important points.
    Yes No
  9. I use my notes to learn the necessary material.
    Yes No
  10. I organize my notes in a useful way.
    Yes No
  11. I organize my notes in a way that matches my learning style.
    Yes No
  12. I schedule time to review class notes as soon as possible after class.
    Yes No

Comments:

Test-Taking Assessment

I demonstrate my knowledge best in the following formats:

  1. Multiple choice test.
    Yes No
  2. True/False test.
    Yes No
  3. Essay.
    Yes No
  4. Fill in the blank test.
    Yes No
  5. Oral - tell answers aloud.
    Yes No
  6. Written report.
    Yes No
  7. Project.
    Yes No
  8. Portfolio (compilation of work samples).
    Yes No

I will check "Yes" after the accommodation(s) I think I need on tests:

  1. Time modification.
    Yes No
  2. Reader.
    Yes No
  3. Alternative site (i.e., lights, sound, furniture).
    Yes No
  4. Scribe (person who write answers from dictation).
    Yes No
  5. Alternative test format (i.e., essay, multiple choice, etc.).
    Yes No
  6. Use of assistive devices (i.e., computer, calculator, spell checker, tape recorder, etc.).
    Yes No

Comments:

Self-Advocacy

  1. I know the environment in which I learn best.
    Yes No
  2. I know how to learn material when the teacher's style is different from my own.
    Yes No
  3. I seek help when I need it.
    Yes No
  4. I am assertive (not passive or aggressive).
    Yes No
  5. I can communicate my ideas.
    Yes No
  6. I can start and end conversations effectively.
    Yes No
  7. I can express my feelings appropriately during a conversation.
    Yes No
  8. I listen attentively in conversations.
    Yes No
  9. I am aware of and respect personal space.
    Yes No
  10. I can effectively listen and communicate to help resolve conflicts when in a disagreement.
    Yes No
  11. I know how to contact the support service people affiliated with the college/workplace I am entering.
    Yes No

Comments:

Related Information:

Special Services
845.575.3274 (voice)
845.575.3011 (fax)