Four weeks after you first begin program activities, please submit this form with four program tracking sheets. This form must also be submitted before each re-evaluation.
Please make specific comments in each of the areas below, relative to the INP. Please include successes, changes, concerns, difficulties and / or any other observations.
Please indicate the client's auditory processing levels in the following areas (where applicable) at the time of previous testing:
Please indicate the client's auditory processing levels in the following areas (where applicable) at the current level of testing:
Please indicate the client's visual processing levels in the following areas (where applicable) at the time of previous testing:
Please indicate the client's visual processing levels in the following areas (where applicable) at the current level of testing:
Academic Function
Please complete the blanks for the applicable areas below. If not applicable, please leave the field blank.
The portion below is one of the most imprtant parts of a communicating how things are going with program activities! Your input on EVERY PROGRAM ACTIVITY is vital for the evaluation team of evaluator, program writer and support personnel. We can support you better and create a more effective program with thorough information. Please give as many details as possible.
In the boxes below, list each one of your current activities from the INP. Specific comments regarding successes, changes, concerns, difficulties, etc. should accompany each program activity whether it was completed consistently or not.
Other families need your encouragement. Every victory, large or small is valuable! If LGS has your permission to publish your partially identifying information, fill out the fields below.