About this template
Gather comprehensive behavioral and academic feedback from educators with this specialized Vanderbilt Assessment Teacher Informant Google Form template. Designed for psychologists, pediatricians, school counselors, and special education teams, this form streamlines the process of collecting objective observations from teachers regarding a student's classroom performance, social interactions, and attention patterns.
Instead of chasing paper checklists or dealing with unstructured emails, professionals can send this digital questionnaire directly to teachers. It covers essential developmental domains, including academic functioning, peer relationships, and behavioral symptom ratings. The resulting data flows neatly into Google Sheets, making it easy to compile scores, track progress over time, and share insights with parents or clinical care teams while maintaining an organized digital paper trail.
Key features
- Standardized rating matrices for academic performance and classroom behavior
- Easy-to-complete digital format accessible on any phone, tablet, or laptop
- Automatic collection of responses into Google Sheets for quick scoring
- Secure and direct distribution to teachers via a simple web link
- Customizable fields to match specific clinical or educational requirements
Use cases
Gathering teacher observations for ADHD or developmental evaluations
Documenting student behavioral progress for IEP or 504 plan reviews
Conducting periodic academic and social-emotional performance checks
Streamlining communication between clinical specialists and school fa…
Streamlining communication between clinical specialists and school faculty
What this form collects
- Child's Full Name (Short answer)Enter the first and last name of the student being evaluated.
- Date of Birth (Date)Select the student's date of birth.
- Grade Level (Short answer)Enter the student's current grade.
- Teacher's Name (Completed By) (Short answer)Enter your full name and title.
- Today's Date (Date)Select today's date.
- Academic Performance (Dropdown)Rate the student's current academic standing across core subjects.
- Classroom Behavior & Attention (Linear scale)Rate how well the student maintains focus, follows instructions, and regulates behavior during class activities.
- Peer Relationships & Social Interaction (Linear scale)Rate the student's ability to interact positively and cooperate with classmates.
- Additional Comments & Observations (Paragraph)Please share any specific examples, strengths, or areas of concern regarding this student's classroom performance.
FAQ
Who should fill out this assessment form?
This form is specifically designed for classroom teachers, special educators, or instructional aides who spend significant time observing the student in a school environment.
Can I customize the behavioral questions and rating scales?
Yes. Once you convert this template to Google Forms, you can fully edit, add, or remove questions and rating options to suit your exact evaluation criteria.
How do I share this form with a teacher?
Simply copy the Google Form link and send it via email or messaging. Teachers can complete it directly from their browser without needing any special software.
Where does the submitted data go?
All teacher responses are automatically saved in your connected Google Sheet, allowing you to review individual submissions or analyze trends instantly.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.