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Teacher Report on the Match

Name:
Gender:
Programs:
Orientation:

We would like you to describe any changes you’ve observed in the below areas. It’s okay to indicate "don’t know" if you have no knowledge about change in a given area.

Question Definitions or mouse over question.

  Much Worse A Little Worse No   Change A Little Better Much Better Don't Know Not A Problem
CONFIDENCE              
1) Self-confidence
2) Able to express feelings
3) Can make decisions
4) Has interests or hobbies
5) Personal hygiene
6) Sense of the future

COMPETENCE		              
7) Uses community resources
8) Uses school resources
9) Academic performance
10) Attitude toward school
11) School preparedness (homework)
12) Class participation
13) Classroom behavior
14) Able to avoid delinquency
15) Able to avoid substance abuse
16) Able to avoid early parenting

CARING		              
17) Shows trust toward you
18) Respects other cultures
19) Relationship with family
20) Relationship with peers
21) Relationship with other adults

Has there been any improvement in the student's grades, in any school subjects, since the beginning of the school year?
Yes No

If yes, in how many subjects have you observed an improvement in grades?
1 2 3 4 or more