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Please fill out the questions on this survey to the best of your knowledge. If you have any questions, please ask the WU student for clarification. The survey should be filled out with no identifying information from the student. Thank you for your time!
 
 
 
1. What is the name of your WU student?
   
 
 
 
2. What are some strengths (2-3) and weaknesses (2-3) related to the student of interest and his/her cognitive development? Please provide any pertinent information to support your answer (results from an assessment, in-class observation, etc.).
   
 
 
 
3. What are some strengths (2-3) and weaknesses (2-3) related to the student of interest and his/her physical development? Please provide any pertinent information to support your answer (results from an assessment, in-class observation, etc.).
   
 
 
 
4. What are some strengths (2-3) and weaknesses (2-3) related to the student of interest and his/her social/emotional development? Please provide any pertinent information to support your answer (results from an assessment, in-class observation, etc.).
   
 
 
 
5. How do you use "hard data" to maxamize your teaching and adapt for the student's learning?
   
 
 
 
6. How are you held accoutnable for the student's learning (at a local, district, and/or state level)?