PLAN B GIFTED - Pasco County Schools
PLAN B GIFTED
STUDENT SELF-RATING FORM (P.1)
Student Name Grade Date
Person completing this form
Please keep this in mind as you evaluate each of the following points and mark the degree to which it is true: often, sometimes or seldom.
Point Scale
Seldom = 0 SELDOM SOMETIMES OFTEN
Sometimes = 1 (75% of the time)
Often = 2
1. I am a good guesser.
2. I have a sense of humor;
I can make people laugh.
3. I have many friends that
are smart.
4. I can get other people to do
things I want them to do.
5. I have a good memory for
what I hear or read.
6. I get in trouble for asking
too many questions.
7. I get bored easily.
8. I am not afraid to try new
things.
9. I am told that I have a wild
imagination.
10. I like to see how things work.
11. I like to daydream.
PLAN B GIFTED
STUDENT SELF-RATING FORM (P.2)
Point Scale
Seldom = 0 SELDOM SOMETIMES OFTEN
Sometimes = 1 (75% of the time)
Often = 2
12. I spend a great deal of time
reading.
13. I work well in groups.
14. I enjoy complicated games
or projects.
15. I am talented in: ** AVERAGE ABOVE AVERAGE SUPERIOR
0 1 2
Art
Creative Writing
Dance
Singing
Drama
Reading
Inventing
Music
Technology
**Note: Circle the area that
reflects highest
achievement and mark
the degree to which it
is true:
Total Points
................
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