Daily Report Card #3011


Name:_____________________________________ Grade:____________________________

Teacher:___________________Week of: _________________School:____________________

The Daily Report Card targets classroom behaviors. The student is evaluated either once per day (use spaces at top for days of the week) or by each period or subject. This form can be used all week or one day per week depending on how it is designed.

DAILY REPORT CARD PROGRAM
TARGET BEHAVIORS(Enter target behaviors below and days/subjects to right) . . . . .
1.  .  .  .  .
2.  .  .  .  .  .
3.  .  .  .  .  .
4.  .  .  .  .  .
5.  .  .  .  .  .
POINTS EARNED EACH DAY OR EACH PERIOD: . . . . .
Teacher's Initials:  .  .  .  .  .
N/A = not applicable 0 = losing, forgetting or destroying sheet 3 = Fair
1 = Poor 4 = Good
2 = Needs improvement 5 = Excellent
Teacher's Comments:




Parent's Comments:








Adapted from ADAPT: Attention Deficit Accommodation Plan for Teaching (ADAPT): Student Planbook by Harvey C. Parker. Specialty Press, Inc. All rights reserved. This form may be copied for use in your practice.