Present Levels of Academic Achievement and Functional Performance

Some items need revision (cannot save).

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