Present Levels of Academic Achievement and Functional Performance
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IEP Date
Student Name
1. Academic/Functional Academic Skills
Reading
Math
Written Language
2. Communication Skills
Speech
Receptive Language
Expressive Language
Other
3. Psychomotor Skills (Fine/Gross Motor)
4. Self-Help/Daily Living Skills
5. Prevocational/Career/Study Skills
6. Social Adaptation/Social Emotional
7. Community Based Instruction
8. Recreation/Leisure Activities
9. Intellectual Functioning
10. Health Data
Vision
Hearing
Health Concerns
Medication