School Psychologist Assessment Checklist (Excel sheet)
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School Psychologist Communication Survey
The purpose of this survey is to solicit anonymous feedback from members of a student’s
educational Team regarding the effectiveness of the school psychologist’s oral and written
communication of evaluation results to the Team. The school psychologist will compile and
analyze survey responses over time to monitor and improve his/her communication skills.
Directions: Please place one checkmark in each row to show the extent to which you agree with
each of the following statements regarding the school psychologist’s written and oral
communication at the Team meeting you recently attended. Select just one response in each
row. This survey will take approximately five minutes to complete. Please aim to return this form
within five days of the meeting, if possible.
[For hard copy version: Please return this survey to: _______________or mail to: _________]
Strongly
Agree
Agree
(8)
(6)
Neither
Agree nor
Disagree
(4)
Disagree
Strongly
Disagree
(2)
(0)
Response to Written Report
1. The School Psychologist presented
assessment findings in the written report
clearly and respectfully.
2. The School Psychologist presented
assessment findings in the written report in
sufficient detail.
3. The School Psychologist presented
assessment findings in the written report using
non-technical, jargon-free language.
4. The School Psychologist’s written report
interpreted and connected assessment
results to the student’s performance, needs,
and subsequent recommendations.
Response to Oral Meeting Communications
5. The School Psychologist presented
assessment findings orally in the meeting
clearly and respectfully.
6. The School Psychologist presented
assessment findings orally in the meeting in
sufficient detail.
7. The School Psychologist presented
assessment findings orally in the meeting
using non-technical, jargon-free language.
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8. The School Psychologist orally interpreted
and connected assessment results to the
student’s performance, needs, and subsequent
recommendations.
Overall Communication
9. The School Psychologist’s written and oral
communication of assessment findings
supported the Team’s ability to engage in a
constructive conversation about the
student’s learning needs.
10. As a result of the School Psychologist’s
written and oral communication of assessment
findings, I have a new or better
understanding about the student’s overall
learning profile, including strengths and needs.
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Step I: Assessment Checklist Rubric
Directions: Read the descriptors for levels 3, 4, and 5 under “Variety of Assessment Methods.” Review the School Psychologist Assessment
Checklist records for the designated time period (Sept-Nov, Dec-Feb, or Mar-June). Circle the point value (3, 4, or 5) associated with the level
of performance demonstrated for this time period. Repeat these steps for the “Strategic Selection” portion of the rubric.
At the end of the school year – at the designated time when DDMs results must be calculated – record in the “Overall Average” row, the
average score for each of the two sections of the rubric. For example, if the psychologist earned a 4 (Sept-Nov), a 4 (Dec-Feb), and a 5 (MarJun) for “Variety of Assessment Methods,” the overall average for this section would be the sum of 4+4+5 divided by 3, or 4.33. Next, in the
final “Combined Overall Average, add the two Overall Average scores. For example, if the psychologist earned a 4.33 for the Overall Average
of Variety of Assessment Methods and a 4.66 for the Overall Average for Strategic Selection, the Combined Overall Average would a 4.33 +
4.66, or 8.99 out of a possible score of 10 points.
Variety of Assessment Methods
o Uses a variety of informal and formal methods of
assessment to measure student learning, growth, and
understanding to develop differentiated and enhanced
learning experiences and improve future instruction
Level 3
Level 4
Level 5
- Used some varied - Used varied
- Used full range
assessment types
of assessment
assessment
across students
types across
types across
- Rarely used more
students
students
than one assessCommonly used
Sometimes used
ment type per
more than one
more than one
student
assessment type
assessment type
per student
per student
Sept-Nov
Dec-Feb
Mar-June
Overall
Average
Combined
Overall Avg
3 pts
3 pts
3 pts
4 pts
4 pts
4 pts
5 pts
5 pts
5 pts
Strategic Selection
o Strategically selects from a variety of assessment
methods to assess student learning, behavior, and
development to account for student differences in culture,
language, level of functioning, and referral concerns
Level 3
Level 4
Level 5
Rarely provides
Sometimes
Consistently
logical rationale for
provides logical
provides logical
selection of
rationale for
rationale for
assessments
selection of
selection of
assessments
assessments
3 pts
3 pts
3 pts
4 pts
4 pts
4 pts
5 pts
5 pts
5 pts
Appendix D
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Step 2: Communication Survey Score Sheet
Example Communication Survey Score Chart for the First Assessment Period of the School Year
The school psychologist can monitor these survey data and, in response, make adjustments to communication practices. For example, as
shown above, the school psychologist might see that Question 4 (“The School Psychologist’s written report interpreted and connected
assessment results to the student’s performance, needs, and subsequent recommendations”) was a relative strength during September to
November, and that Question 5 (“The School Psychologist presented assessment findings orally in the meeting clearly and respectfully”) was a
relative weakness. Assuming that the survey response rate represents the targeted level of 60-80% of those attending the Team meetings,
these observations can begin to inform changes to the school psychologist’s practice.
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Step 3: Communication Survey Response Rate Tracker
Directions: For each assessment period, record the Total Number of Team Meeting Participants in the second column – this equals the
number of Communication Surveys distributed during the period – and the Total Number of Surveys Returned in the third column.
Next, calculate the Response Rate for each period by dividing the Total Number of Surveys Returned (third column) by the Total Number of
Team Meeting Participants, or surveys distributed (second column).
Next, add the three entries for the Total Number of Team Meeting Participants and record in the Overall cell at the bottom of the column. Do the
same to calculate the Overall surveys returned.
When calculating the Overall Average Return Rate (lowest, far right cell in the table), divide the Overall Number of Surveys Returned (bottom
row, third column) by the Overall Number of Team Meeting Participants (bottom row, second column). This avoids rounding errors that will
occur if you use each period’s response rate to calculate the Overall Average Response Rate.
Total # of Team Mtg
Participants/ Surveys
Distributed
Total # of Surveys
Returned
Overall
Overall
Response Rate
Target Return Rate: 60-80%
Sept-Nov
Dec-Mar
Apr-June
OVERALL
Avg Return Rate
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Step 4: Calculating the Final DDM Score
Directions: At the end of the school year (or at the designated time when DDMs results must be calculated), the school counselor calculates
the Final DDM score. The Assessment Checklist results account for 20% of the overall score and the Communication Survey results account
for 80% of the overall score.
First, the school psychologist enters the Combined Overall Average from the bottom row of the Assessment Checklist Rubric in the area
marked X, below.
Second, the school psychologist calculates an average of the three “Overall Average” scores for the three assessment periods shown in the
Communication Survey Score Sheet and records this in the area marked Y, below. For example, if the school psychologist earned a 60.6 for
Sept-Nov, 72.0 for Dec-Feb, and 55.5 for Mar-Jun, the total score for the Communication Survey portion of the DDM would be (60.6+72.0+
55.5) divided by 3, or 62.7 for the year.
Finally, the school psychologist adds these two scores together and records as the FINAL SCORE out of a possible 100 points.
DDM Score
Assessment Checklist Rubric Score (20%)
Combined Overall Average
Communication Score Sheet (80%)
Overall Average
Partial Scores
X
Y
FINAL SCORE
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