QCA Behaviour Assessment Pupil Voice ( years 5 – …



QCA Behaviour Assessment Pupil Voice ( years 5 – KS4)

Name ...................................... year ……. School………………………….date………..……

| | |

|Emotional behaviour |/30 |

| | |

|Conduct behaviour |/30 |

| | |

|Learning behaviour |/30 |

| | |

|Total |/90 |

|Emotional Behaviour |1 |2 |3 |4 |5 |6 |

| |not at all |rarely |some |fairly often|often |always |

| | | |times | | | |

|I am socially aware | | | | | | |

|I have friends who I enjoy doing things with | | | | | | |

|I know how to make new friends | | | | | | |

|I feel ok in new situations | | | | | | |

|I am a happy person | | | | | | |

|There are lots of things that make me laugh | | | | | | |

|People see me smiling | | | | | | |

|There are things that I really enjoy doing | | | | | | |

|I am a confident person | | | | | | |

|I feel ok learning new things | | | | | | |

|If I get things wrong I don’t ‘fall apart!’ | | | | | | |

|I have some things that I know I am good at! | | | | | | |

|I am emotionally stable and show self control | | | | | | |

|I feel ok most of the time | | | | | | |

|I know how to calm myself down if things get on top of me | | | | | | |

|I am patient in stress’y’ situations | | | | | | |

|Conduct Behaviour |1 |2 |3 |4 |5 |6 |

| |not at all |rarely |sometimes |fairly often|often |always |

|I show respect to other pupils | | | | | | |

|I speak to other pupils respectfully and politely even if they are not my friends| | | | | | |

|I always treat other pupils kindly rather than doing things that I know will hurt| | | | | | |

|others | | | | | | |

|I only interrupt and seek attention appropriately | | | | | | |

|I say sensible things in class rather than showing off | | | | | | |

|I only interrupt a lesson for a sensible reason | | | | | | |

|I put my hand up when I want to answer a question rather than shouting out | | | | | | |

|I am physically peaceable | | | | | | |

|I can sort out problems without hurting other people’s feelings, bodies, myself | | | | | | |

|or property | | | | | | |

|I can be angry without losing control and becoming aggressive | | | | | | |

|I respect property | | | | | | |

|I put things away when I have used them | | | | | | |

|I ask to borrow things before I take them | | | | | | |

|I always respect property even if I am feeling very angry | | | | | | |

|Learning Behaviour |1 |2 |3 |4 |5 |6 |

| |not at all |rarely |sometimes |fairly often|often |always |

|I have good learning organization | | | | | | |

|I start my work quickly and know what the task is | | | | | | |

|I know what to do when I have completed my work | | | | | | |

|I finish my work | | | | | | |

|I get what I need to do a task e.g. pen, paper, books | | | | | | |

|I am an effective communicator | | | | | | |

|I talk clearly | | | | | | |

|I think before I answer | | | | | | |

|I can hold a conversation with adults, friends and other people my own age | | | | | | |

|I work efficiently in a group | | | | | | |

|I take part in group discussions | | | | | | |

|I listen well to other people’s ideas | | | | | | |

|I can make group decisions and plans | | | | | | |

|I seek help where necessary | | | | | | |

|I can work on my own | | | | | | |

|I try to solve problems on my own before I ask for help | | | | | | |

|I ask for help politely and wait for help to come | | | | | | |

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Feel good

SUCCEED! Behave well

Learn easily

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