Special Education
Teaching Students with Fetal Alcohol Syndrome
Appendix 5: Memory Skills Checklist
Appendix 5: Memory Skills Checklist |
|||
| Name: | ________________________ | Date of Birth: | ________________________ |
| School: | ________________________ | Grade: | ________________________ |
| Attentional Abilities | Mostly | Sometimes | Never |
| Uses effective strategies to recall memory on short term | _______ | _______ | _______ |
| Uses effective strategies to recall memory on longer term | _______ | _______ | _______ |
| Knows how to apply and generalize a skill to a new situation | _______ | _______ | _______ |
| Knows when to apply and generalize a skill to a new situation | _______ | _______ | _______ |
| Makes effective use of lists | _______ | _______ | _______ |
| Understands explanations, directions and instructions and repeats in own words | _______ | _______ | _______ |
| Able to complete fill in the blank sentences with appropriate words | _______ | _______ | _______ |
| Highlights or summarizes information he/she should remember | _______ | _______ | _______ |
| Can remember the sequence of events of a story | _______ | _______ | _______ |
| Is able to use reference resources effectively | _______ | _______ | _______ |
| Can remember the steps in a procedure | _______ | _______ | _______ |
| Can remember and deliver a message to another teacher/school personnel | _______ | _______ | _______ |
| Comments |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| ____________________________________________________________________ |
| Completed by: | __________________________________________________________ |
| Relationship to student: | __________________________________________________________ |
| Date: | __________________________________________________________ |
