CTESS Manual -RSP

Student Checklist/Observation Canyons School District Performance Assessment of Contributions and Effectiveness of Related Service Providers. Related Service Provider: Student Completing the Survey: Date:___________________________________________________________________________________________ Please tell us how you feel about your Speech-Language Pathologist (SLP), Speech-Language Technician (SLT), Occupational Therapist (OT), and Physical Therapist (PT) by checking yes or no next to the statements listed below. Feel free to add comments.

Statement

Yes

No

Comments

I understand what I am supposed to be learning from my therapist. I understand how my therapist’s goals can help me to be more successful in my classroom. If I don’t understand something, my therapist explains it to me in a way I understand. My therapist explains things in a way I understand. My therapist asks questions to be sure I am following during therapy. My therapist explains what I am learning and why it is important for me to learn. My therapist tells me how much progress I am making.

J L

J L

J L J L J L J L J L

My therapist encourages me to do my best. J L Additional comments by student and/or Related Service Provider Coordinator.