<p> QCA Behaviour Assessment Pupil Voice ( years 5 – KS4)</p><p>Name ...... year ……. School………………………….date………..……</p><p>Emotional behaviour /30 Feel good</p><p>Conduct behaviour /30</p><p>SUCCEED! Behave well Learning behaviour /30</p><p>Total /90 Learn easily</p><p>Emotional Behaviour 1 2 3 4 5 6 not at all rarely some fairly often always times often I have empathy  I notice how other people feel by looking at their faces, body language and listening to how they talk  I try to be patient with people who are different to me  I know how to help someone who is sad, angry or hurt  I try to think about other people when I make decisions I am socially aware  I have friends who I enjoy doing things with  I know how to make new friends  I feel ok in new situations I am a happy person  There are lots of things that make me laugh  People see me smiling  There are things that I really enjoy doing I am a confident person  I feel ok learning new things  If I get things wrong I don’t ‘fall apart!’  I have some things that I know I am good at! I am emotionally stable and show self control  I feel ok most of the time  I know how to calm myself down if things get on top of me  I am patient in stress’y’ situations Inclusion Handbook 2010 D43 Conduct Behaviour 1 2 3 4 5 6 not at all rarely sometimes fairly often always often I behave respectfully towards staff  I speak to staff politely even if I don’t agree with them  I allow staff to teach without disrupting lessons  I apologise to staff if I make a mistake I show respect to other pupils  I speak to other pupils respectfully and politely even if they are not my friends  I always treat other pupils kindly rather than doing things that I know will hurt others I only interrupt and seek attention appropriately  I say sensible things in class rather than showing off  I only interrupt a lesson for a sensible reason  I put my hand up when I want to answer a question rather than shouting out I am physically peaceable  I can sort out problems without hurting other people’s feelings, bodies, myself or property  I can be angry without losing control and becoming aggressive I respect property  I put things away when I have used them  I ask to borrow things before I take them  I always respect property even if I am feeling very angry Learning Behaviour 1 2 3 4 5 6 not at rarely sometimes fairly often always all often I am attentive and have an interest in learning  I enjoy learning  I concentrate well in class  I show my interest by asking questions and answering questions I have good learning organization  I start my work quickly and know what the task is  I know what to do when I have completed my work  I finish my work  I get what I need to do a task e.g. pen, paper, books I am an effective communicator  I talk clearly  I think before I answer  I can hold a conversation with adults, friends and other people my own age I work efficiently in a group  I take part in group discussions  I listen well to other people’s ideas  I can make group decisions and plans I seek help where necessary  I can work on my own  I try to solve problems on my own before I ask for help  I ask for help politely and wait for help to come</p><p>Inclusion Handbook 2010 D44</p>