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INSTITUTE FOR THE HANDICAPPED AND BACKWARD PEOPLE
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Student Assessment
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Student Assessment
Student Assessment
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Student Details
Name of the Student/Trainee
*
First
Last
Sex
*
Male
Female
Third Gender
Date of Birth
*
MM
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YYYY
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1920
Phone
*
Email Id
*
PERSONAL
Section 1
1.Anticipates needs use toilets independently
Select Any one
*
Yes
No
Section 2
2.Maintains Cleanliness unaided(brushing, bating, combing)
Select Any one
*
Yes
No
Section 3
3.Eats properly and observes manners in a family situation without supervision
Select Any one
*
Yes
No
Section 4
4.Manage Dressing unaided and maintains neat appearance
Select Any one
*
Yes
No
COMMUNICATION
Section 1
1.Can Use Gestural for verbal communication
Select Any one
*
Yes
No
Section 2
2.Communicates using words
Select Any one
*
Yes
No
Section 3
3.gesturallyor verbally makes himself understood to others
Select Any one
*
Yes
No
Section 4
4.Communicates properly in sentences
Select Any one
*
Yes
No
Section 5
4.Engages in meaningful conversation
Select Any one
*
Yes
No
SOCIAL BEHAVIOUR
Section 1
1.Sits properly in a class room situation
Select Any one
*
Yes
No
Section 2
2.Greets peers and elders appropriately
Select Any one
*
Yes
No
Section 3
2.Cooperates in group situation
Select Any one
*
Yes
No
Section 4
4.Offers help when needed without promting
Select Any one
*
Yes
No
Section 5
5.Behaves Acceptably and makes visitors feel welcome
Select Any one
*
Yes
No
Section 6
6.Recognizes and protect own property
Select Any one
*
Yes
No
Section 7
6.Asks permission to use the property of others
Select Any one
*
Yes
No
Section 8
7.Maintains discipline in a given situation
Select Any one
*
Yes
No
Section 9
9.Leads peer group in simple activities
Select Any one
*
Yes
No
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