Don't Let Them Talk You Into This Test
Jacob Tucker's Evaluations
Autism Social Skills Profile
Persons Completing Profiles:
1. Sherri Tucker/parent
2. Rick Smith/Auto and Home Repair Instructor
3. Kimberly Sterne/Computer Hardware and OS instructor
4. Duane Fleck/World History Instructor
5. Gene Maurer/World History Instructor
6. Janalee Byers/Algebra and Geometry Instructor
7. Jessi Lueck/Algebra and Geometry Instructor
8. Christine Peachee/Integrated Chemistry and Physics Instructor
9. Michelle Rees/Integrated Chemistry and Physics Instructor
10. Kellie Wilson/English 10 Instructor
11. Dawn Payne/English 10 Instructor
12. Joyce Jackson/Resource Lab Instructor
13. Cindy Britt/Speech Language Therapist
Red "X" indicates Mother's Answer
How Often Is Skill Observed?
Question
|
Never
|
Sometimes
|
Often
|
Very Often
|
Not Observed
|
N/A
|
Blank
|
1. Invites peers to join him in activities.
|
10
X |
2
|
1
| ||||
2. Joins Activities with peers.
|
4
X |
8
|
1
| ||||
3. Takes turns during games and activities.
|
2
|
4
X |
4
|
2
|
1
| ||
4. Maintains personal hygiene.
|
2
X |
7
|
3
|
1
| |||
5. Interacts with peers during unstructured activities.
|
7
X |
3
|
2
|
1
| |||
6. Interacts with peers during structured activities
|
4
X |
6
|
1
|
1
|
1
| ||
7. Asks questions to request information about a person.
|
10
X |
1
|
1
|
1
| |||
8. Asks questions to request information about a topic.
|
5
|
7
X |
1
| ||||
9. Engages in one-on-one social interactions with peers.
|
3
|
9
X |
1
| ||||
10. Interacts with groups of peers.
|
6
X |
7
| |||||
11. Maintains the "give and take" of conversations.
|
4
X |
4
|
3
|
1
|
1
| ||
12. Expresses sympathy for others.
|
5
|
3
X |
1
|
2
|
2
| ||
13. Talks about or acknowledges the interests of others.
|
5
X |
5
|
1
|
1
|
1
| ||
14. Recognizes the facial expressions of others.
|
5
X |
3
|
2
|
2
|
1
| ||
15. Recognizes the non-verbal curs, or "body language" of others.
|
5
X |
5
|
1
|
1
|
1
| ||
16. Requests assistance from others.
|
8
|
5
X | |||||
17. Understands the jokes or humor of others.
|
7
X |
6
| |||||
18. Maintains eye contact during conversations.
|
4
X |
6
|
2
|
1
| |||
19. Maintains an appropriate distance when interacting with peers.
|
1
|
5
X |
2
|
3
|
1
|
1
| |
20. Speaks with an appropriate volume in conversations.
|
1
|
2
X |
6
|
4
| |||
21. Considers multiple viewpoints.
|
6
X |
3
|
1
|
2
|
1
| ||
22. Offers assistance to others.
|
10
|
3
X | |||||
23. Verbally expresses how he is feeling.
|
2
|
7
X |
4
| ||||
24. Responds to the greetings of others.
|
2
X |
5
|
4
|
2
| |||
25. Joins a conversation with two or more people without interrupting.
|
5
X |
6
|
1
|
1
| |||
26. Initiates greetings of others.
|
9
X |
2
|
1
|
1
| |||
27. Provides compliments to others.
|
10
|
1
X |
2
| ||||
28. Introduces self to others.
|
10
X |
1
|
2
| ||||
29. Politely asks others to move out of his way.
|
11
X |
1
|
1
| ||||
30. Acknowledges the compliments directed at him by others.
|
5
X |
5
|
1
|
2
| |||
31. Allows peers to join him in activities
|
4
|
5
X |
3
|
1
| |||
32. Responds to the invitations of peers to join them in activities.
|
3
|
6
X |
1
|
3
| |||
33. Allows others to assist him with tasks.
|
4
|
7
X |
2
| ||||
34. Responds to questions directed at him by others.
|
1
|
4
X |
4
|
4
| |||
35. Experience positive peer interactions.
|
4
|
6
X |
2
|
1
| |||
36. Compromises during disagreements with others.
|
6
X |
4
|
2
|
1
| |||
37. Responds slowly in conversations.
|
4
|
8
X |
1
| ||||
38. Changes topics of conversations to fit self interests.
|
5
|
4
|
3
|
1
X | |||
39. Misinterprets the intentions of others.
|
3
|
3
|
4
X |
1
|
2
| ||
40. Makes inappropriate comments.
|
4
|
7
|
1
X |
1
| |||
41. Engages in solitary interests and hobbies.
|
1
|
5
|
6
X |
1
| |||
42. Ends conversations abruptly.
|
6
X |
3
|
3
|
1
| |||
43. Fails to read cues to terminate conversations.
|
5
|
4
|
2
X |
2
| |||
44. Exhibits fear or anxiety regarding social interactions.
|
5
X |
3
|
4
|
1
| |||
45. Experiences negative peer interactions.
|
6
X |
5
|
1
|
1
| |||
46. Engages in socially inappropriate behaviors.
|
3
|
7
|
3
X | ||||
47. Exhibits poor timing with his social interactions.
|
6
|
4
|
2
X |
1
| |||
48. Is manipulated by peers.
|
11
|
1
X |
1
| ||||
49. Engages in solitary activities in the presence of peers.
|
4
|
3
|
6
X |
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