<p> Student Risk Screening Scale (SRSS; Drummond, 1994) District: School: Teacher: Date:</p><p>Directions: Each classroom teacher will fill in the names of the students in alphabetical order (use additional sheets of this Scale as needed). Rate all of the students on each behavior using the following scale: 0=Never, 1=Occasionally, 2=Sometimes, 3=Frequently. At the bottom of page 2, please summarize the number and percent of students in each risk category.</p><p>The total scores range from 0 to 21, forming three risk categories: (L) Low Risk (0 to 3) (M) Moderate Risk (4 to 8) (H) High Risk (9 to 21) </p><p>Low Lie, Behavior Peer Academic Negative Aggressive Total Risk Student Name Steal Cheat, Problem Rejection Achieve- Attitude Behavior (0-21) (circle) Sneak ment 1. L M H</p><p>2. L M H</p><p>3. L M H</p><p>4. L M H</p><p>5. L M H</p><p>6. L M H</p><p>7. L M H</p><p>8. L M H</p><p>9. L M H</p><p>10. L M H</p><p>11. L M H</p><p>12. L M H</p><p>13. L M H</p><p>Student Name Steal Lie, Behavior Peer Low Negative Aggressive Source: T. Drummond (1994), The Student Risk Screening Scale (SRSS). Grants Pass, OR: Josephine County Mental Health Program. Cheat, Problem Rejection Academic Attitude Behavior Total Risk Sneak Achieve- (0-21) (circle) ment 14. L M H</p><p>15. L M H</p><p>16. L M H</p><p>17. L M H</p><p>18. L M H</p><p>19. L M H</p><p>20. L M H</p><p>21. L M H</p><p>22. L M H</p><p>23. L M H</p><p>24. L M H</p><p>25. L M H</p><p>26. L M H</p><p>27. L M H</p><p>28. L M H</p><p>29. L M H</p><p>30. L M H</p><p>SRSS Summary (for the classroom) Low Risk Moderate Risk High Risk Number of Students Percent of Students</p><p>Source: T. Drummond (1994), The Student Risk Screening Scale (SRSS). Grants Pass, OR: Josephine County Mental Health Program.</p>