| | Never Always |
| 1. | Gets along well with others. | 0 1 2 3 4 5 6 7 |
| 2. | Is respectful to teachers and staff. | 0 1 2 3 4 5 6 7 |
| 3. | Resolves conflicts without adult help. | 0 1 2 3 4 5 6 7 |
| 4. | Follows the rules of the classroom. | 0 1 2 3 4 5 6 7 |
| 5. | Remains on-task during transitions. | 0 1 2 3 4 5 6 7 |
| 6. | Helps others when appropriate. | 0 1 2 3 4 5 6 7 |
| 7. | Shares and takes turns. | 0 1 2 3 4 5 6 7 |
| 8. | Takes initiative when appropriate. | 0 1 2 3 4 5 6 7 |
| 9. | Demonstrates responsibility. | 0 1 2 3 4 5 6 7 |
| 10. | Accepts responsibility for actions. | 0 1 2 3 4 5 6 7 |
| 11. | Uses appropriate language. | 0 1 2 3 4 5 6 7 |
| 12. | Keeps him/herself and others safe. | 0 1 2 3 4 5 6 7 |
| 13. | Demonstrates good sportsmanship. | 0 1 2 3 4 5 6 7 |