{"id":1558,"date":"2022-11-26T13:41:30","date_gmt":"2022-11-26T05:41:30","guid":{"rendered":"https:\/\/mindfulbear.sg\/?page_id=1558"},"modified":"2022-11-29T19:02:39","modified_gmt":"2022-11-29T11:02:39","slug":"vanderbilt-screening-for-teachers","status":"publish","type":"page","link":"https:\/\/mindfulbear.sg\/vanderbilt-screening-for-teachers\/","title":{"rendered":"Vanderbilt Screening for Teachers"},"content":{"rendered":"<div class='fluentform ff-default fluentform_wrapper_9 ffs_default_wrap'><form data-form_id=\"9\" id=\"fluentform_9\" class=\"frm-fluent-form fluent_form_9 ff-el-form-top ff_form_instance_9_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_9_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Vanderbilt Screening for Teacher<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='1558' \/><input type=\"hidden\" id=\"_fluentform_9_fluentformnonce\" name=\"_fluentform_9_fluentformnonce\" value=\"513a1cf8b4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1558\" \/><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_1\" ><h3 data-css=\"tve-u-63464697ce3471\">ADD\/ADHD Vanderbilt Screening\u2014TEACHER Informant<\/h3><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_2\" ><p data-css=\"tve-u-63464697ce3471\"><strong>Instruction:<\/strong> Each rating should be considered in the context of what is appropriate for the age of the child you are rating and should reflect that child\u2019s behavior since the beginning of the school year.<\/p><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_child_name' aria-label=\"Child Name\">Child Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"child_name\" class=\"ff-el-form-control\" placeholder=\"Child Name\" data-name=\"child_name\" id=\"ff_9_child_name\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_names_first_name_' aria-label=\"First Name\">First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_9_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group  ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_names_last_name_' aria-label=\"Last Name\">Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_9_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_9_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_9_email\" class=\"ff-el-form-control\" placeholder=\"Email Address\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_3\" ><div class=\"col-sm-8\">\n<h3 class=\"badge\">Symptoms<\/h3>\n<\/div>\n<p class=\"instrtop\"><strong>Never = 0 | Occasionally = 1 | Often = 2 | Very Often = 3<\/strong><\/p><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"1) Fails to give attention to details or makes careless mistakes in schoolwork\">1) Fails to give attention to details or makes careless mistakes in schoolwork<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_1_88826d8790d0fb618411eb0f431d0374><input  type=\"radio\" name=\"field_1\" data-name=\"field_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_1_88826d8790d0fb618411eb0f431d0374' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_1_4d5431a09ac61e9efc2b1cbb276abebf><input  type=\"radio\" name=\"field_1\" data-name=\"field_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_1_4d5431a09ac61e9efc2b1cbb276abebf' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_1_3f55bd8089fc80459ce05164783f134f><input  type=\"radio\" name=\"field_1\" data-name=\"field_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_1_3f55bd8089fc80459ce05164783f134f' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_1_8784e73f6ed097e6d8a76fc239716a46><input  type=\"radio\" name=\"field_1\" data-name=\"field_1\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_1_8784e73f6ed097e6d8a76fc239716a46' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"2) Has difficulty sustaining attention to tasks or activities\">2) Has difficulty sustaining attention to tasks or activities<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_2_7906fd97bb694bc5a9101e69c488f104><input  type=\"radio\" name=\"field_2\" data-name=\"field_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_2_7906fd97bb694bc5a9101e69c488f104' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_2_b81e5160a0e58d1597a9b34cb746bbb9><input  type=\"radio\" name=\"field_2\" data-name=\"field_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_2_b81e5160a0e58d1597a9b34cb746bbb9' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_2_482f47b498b988a3b7e79950261f2a6a><input  type=\"radio\" name=\"field_2\" data-name=\"field_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_2_482f47b498b988a3b7e79950261f2a6a' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_2_86b79a025b0dcf8a0a166c7d7fad3cf7><input  type=\"radio\" name=\"field_2\" data-name=\"field_2\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_2_86b79a025b0dcf8a0a166c7d7fad3cf7' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"3) Does not seem to listen when spoken to directly\">3) Does not seem to listen when spoken to directly<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_3_31753f0b9e9b60ff3275f3de7d5f970b><input  type=\"radio\" name=\"field_3\" data-name=\"field_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_3_31753f0b9e9b60ff3275f3de7d5f970b' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_3_10bf6bcadf0b05ea0e328ac4e226c7dd><input  type=\"radio\" name=\"field_3\" data-name=\"field_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_3_10bf6bcadf0b05ea0e328ac4e226c7dd' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_3_4fce4eacf1835407e46b4a9258556d95><input  type=\"radio\" name=\"field_3\" data-name=\"field_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_3_4fce4eacf1835407e46b4a9258556d95' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_3_e7c83fb240253dc109311b512f310aa1><input  type=\"radio\" name=\"field_3\" data-name=\"field_3\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_3_e7c83fb240253dc109311b512f310aa1' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"4) Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand)\">4) Does not follow through when given directions and fails to finish activities (not due to refusal or failure to understand)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_4_7979e0993ce98a3a7677b2be2a47eec1><input  type=\"radio\" name=\"field_4\" data-name=\"field_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_4_7979e0993ce98a3a7677b2be2a47eec1' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_4_e75ad75aeb6467ebb2ae0f48c81749b8><input  type=\"radio\" name=\"field_4\" data-name=\"field_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_4_e75ad75aeb6467ebb2ae0f48c81749b8' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_4_64b0fc0517b6a73ddfe1c8bbdf204c6b><input  type=\"radio\" name=\"field_4\" data-name=\"field_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_4_64b0fc0517b6a73ddfe1c8bbdf204c6b' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_4_260484853965d3519e287c4e41f5f1c2><input  type=\"radio\" name=\"field_4\" data-name=\"field_4\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_4_260484853965d3519e287c4e41f5f1c2' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"5) Has difficulty organizing tasks and activities\">5) Has difficulty organizing tasks and activities<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_5_afb5e3c2c0e8d3c54ad2cc8a637c90cc><input  type=\"radio\" name=\"field_5\" data-name=\"field_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_5_afb5e3c2c0e8d3c54ad2cc8a637c90cc' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_5_5f34310d3109840ab776f15e02559757><input  type=\"radio\" name=\"field_5\" data-name=\"field_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_5_5f34310d3109840ab776f15e02559757' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_5_213c48d2b13ed9fc7defcdefb069e07c><input  type=\"radio\" name=\"field_5\" data-name=\"field_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_5_213c48d2b13ed9fc7defcdefb069e07c' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_5_3a012ad389bbb44dfe73c5d54c038294><input  type=\"radio\" name=\"field_5\" data-name=\"field_5\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_5_3a012ad389bbb44dfe73c5d54c038294' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"6) Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort\">6) Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_6_d018ceaf513dfbedb42971d7d540158b><input  type=\"radio\" name=\"field_6\" data-name=\"field_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_6_d018ceaf513dfbedb42971d7d540158b' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_6_0923722a013e6c8dc4a670bf75ddfece><input  type=\"radio\" name=\"field_6\" data-name=\"field_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_6_0923722a013e6c8dc4a670bf75ddfece' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_6_cc354f1b8a29e915c9192b9e684e9da8><input  type=\"radio\" name=\"field_6\" data-name=\"field_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_6_cc354f1b8a29e915c9192b9e684e9da8' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_6_9d3ad1a35bfc2015066e593011be4d04><input  type=\"radio\" name=\"field_6\" data-name=\"field_6\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_6_9d3ad1a35bfc2015066e593011be4d04' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"7) Loses things necessary for tasks or activities (school assignments, pencils, or books)\">7) Loses things necessary for tasks or activities (school assignments, pencils, or books)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_7_8c676fdd10cdcfc9b9f1f3fd0537cfb5><input  type=\"radio\" name=\"field_7\" data-name=\"field_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_7_8c676fdd10cdcfc9b9f1f3fd0537cfb5' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_7_204a0726298127d2aabd8375bbb8b7f7><input  type=\"radio\" name=\"field_7\" data-name=\"field_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_7_204a0726298127d2aabd8375bbb8b7f7' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_7_ce63369fdab11424ec4641d7a45c0cd2><input  type=\"radio\" name=\"field_7\" data-name=\"field_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_7_ce63369fdab11424ec4641d7a45c0cd2' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_7_f883f38549c67a9402d95dd1ff520a1a><input  type=\"radio\" name=\"field_7\" data-name=\"field_7\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_7_f883f38549c67a9402d95dd1ff520a1a' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"8) Is easily distracted by noises or other stimuli \">8) Is easily distracted by noises or other stimuli <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_8_a44eb0ac42e1e02204db5bad52361fbf><input  type=\"radio\" name=\"field_8\" data-name=\"field_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_8_a44eb0ac42e1e02204db5bad52361fbf' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_8_841a5c823b4d52d544f539faf9dd9b0e><input  type=\"radio\" name=\"field_8\" data-name=\"field_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_8_841a5c823b4d52d544f539faf9dd9b0e' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_8_16f094cfc5ff2d435721063e37c03e94><input  type=\"radio\" name=\"field_8\" data-name=\"field_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_8_16f094cfc5ff2d435721063e37c03e94' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_8_947c8c08c536b01d53dc7dd47593350b><input  type=\"radio\" name=\"field_8\" data-name=\"field_8\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_8_947c8c08c536b01d53dc7dd47593350b' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"9) Is forgetful in daily activities\">9) Is forgetful in daily activities<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_9_af93a3f0781166874dbcbef7b81c9825><input  type=\"radio\" name=\"field_9\" data-name=\"field_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_9_af93a3f0781166874dbcbef7b81c9825' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_9_9029fce85f395d36078fe6207a602704><input  type=\"radio\" name=\"field_9\" data-name=\"field_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_9_9029fce85f395d36078fe6207a602704' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_9_0b6b2f6a39d56edd88379d9ccf2d4361><input  type=\"radio\" name=\"field_9\" data-name=\"field_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_9_0b6b2f6a39d56edd88379d9ccf2d4361' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_9_8cfe25ca0e34fda9896f3e885d75d07a><input  type=\"radio\" name=\"field_9\" data-name=\"field_9\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_9_8cfe25ca0e34fda9896f3e885d75d07a' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"10) Fidgets with hands or feet or squirms in seat \">10) Fidgets with hands or feet or squirms in seat <\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_10_5584dd3ac917acef7aad0d6b6693dfa6><input  type=\"radio\" name=\"field_10\" data-name=\"field_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_10_5584dd3ac917acef7aad0d6b6693dfa6' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_10_cb4f31d0343b2aa9addb5f579e2d2150><input  type=\"radio\" name=\"field_10\" data-name=\"field_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_10_cb4f31d0343b2aa9addb5f579e2d2150' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_10_513c5e8b5b730fe1795b0d57d2c177d0><input  type=\"radio\" name=\"field_10\" data-name=\"field_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_10_513c5e8b5b730fe1795b0d57d2c177d0' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_10_e635ef0faf0335ddb5f70f23ef3b9811><input  type=\"radio\" name=\"field_10\" data-name=\"field_10\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_10_e635ef0faf0335ddb5f70f23ef3b9811' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"11) Leaves seat in classroom or in other situations in which remaining seated is expected\">11) Leaves seat in classroom or in other situations in which remaining seated is expected<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_11_19940e941d99abe07073b51d8f15981d><input  type=\"radio\" name=\"field_11\" data-name=\"field_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_11_19940e941d99abe07073b51d8f15981d' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_11_138265f8e8ecf824edf04bef670f189c><input  type=\"radio\" name=\"field_11\" data-name=\"field_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_11_138265f8e8ecf824edf04bef670f189c' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_11_1fbc9a11fd5f706dd269471bb84f8bfd><input  type=\"radio\" name=\"field_11\" data-name=\"field_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_11_1fbc9a11fd5f706dd269471bb84f8bfd' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_11_77669069a6792a3fbdfafbbfba66679a><input  type=\"radio\" name=\"field_11\" data-name=\"field_11\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_11_77669069a6792a3fbdfafbbfba66679a' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"12) Runs about or climbs excessively in situations in which remaining seated is expected\">12) Runs about or climbs excessively in situations in which remaining seated is expected<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_12_723a38b658e23e7ae4b6de7fd2e5e800><input  type=\"radio\" name=\"field_12\" data-name=\"field_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_12_723a38b658e23e7ae4b6de7fd2e5e800' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_12_77365718a9649a003eea54368dc8f37e><input  type=\"radio\" name=\"field_12\" data-name=\"field_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_12_77365718a9649a003eea54368dc8f37e' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_12_cd23624e8728129dcdc1e0c2ecc35d56><input  type=\"radio\" name=\"field_12\" data-name=\"field_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_12_cd23624e8728129dcdc1e0c2ecc35d56' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_12_a626b106b8571e65774a37f7f8611342><input  type=\"radio\" name=\"field_12\" data-name=\"field_12\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_12_a626b106b8571e65774a37f7f8611342' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"13) Has difficulty playing or engaging in leisure activities quietly\">13) Has difficulty playing or engaging in leisure activities quietly<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_13_34b8b3941dfe406cfe2b19daf2606b8e><input  type=\"radio\" name=\"field_13\" data-name=\"field_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_13_34b8b3941dfe406cfe2b19daf2606b8e' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_13_3f6443b192a930d6a08dcff04e33c2be><input  type=\"radio\" name=\"field_13\" data-name=\"field_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_13_3f6443b192a930d6a08dcff04e33c2be' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_13_0de3bc3a9469fd94d611ea455c44105d><input  type=\"radio\" name=\"field_13\" data-name=\"field_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_13_0de3bc3a9469fd94d611ea455c44105d' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_13_5dd3474ff96aa39bc985ba3e719910aa><input  type=\"radio\" name=\"field_13\" data-name=\"field_13\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_13_5dd3474ff96aa39bc985ba3e719910aa' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"14) Is \u201con the go\u201d or often acts as if \u201cdriven by a motor\u201d\">14) Is \u201con the go\u201d or often acts as if \u201cdriven by a motor\u201d<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_14_20a63ea9fbdd052bb33247b911545c20><input  type=\"radio\" name=\"field_14\" data-name=\"field_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_14_20a63ea9fbdd052bb33247b911545c20' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_14_e02d0ef500073c3d7019977bedc34904><input  type=\"radio\" name=\"field_14\" data-name=\"field_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_14_e02d0ef500073c3d7019977bedc34904' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_14_1796dc9113b47d9acb135d1789327d7e><input  type=\"radio\" name=\"field_14\" data-name=\"field_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_14_1796dc9113b47d9acb135d1789327d7e' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_14_f5c1c580c1c5cf73fed3dd34976152d1><input  type=\"radio\" name=\"field_14\" data-name=\"field_14\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_14_f5c1c580c1c5cf73fed3dd34976152d1' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"15) Talks excessively\">15) Talks excessively<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_15_0e9a7af5904fe582dc58e82a6abd4fb2><input  type=\"radio\" name=\"field_15\" data-name=\"field_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_15_0e9a7af5904fe582dc58e82a6abd4fb2' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_15_61318fb5534cf2b75f9706980ab294a4><input  type=\"radio\" name=\"field_15\" data-name=\"field_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_15_61318fb5534cf2b75f9706980ab294a4' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_15_47b91c71f31f1bae8ef9564a42d262da><input  type=\"radio\" name=\"field_15\" data-name=\"field_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_15_47b91c71f31f1bae8ef9564a42d262da' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_15_1d179675c9c11dcfdf42b8e800426b60><input  type=\"radio\" name=\"field_15\" data-name=\"field_15\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_15_1d179675c9c11dcfdf42b8e800426b60' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"16) Blurts out answers before questions have been completed\">16) Blurts out answers before questions have been completed<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_16_8bb9365925bda48d074ca75aa1195c62><input  type=\"radio\" name=\"field_16\" data-name=\"field_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_16_8bb9365925bda48d074ca75aa1195c62' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_16_1fd575aa9943b918d1e2ce577eaf27f0><input  type=\"radio\" name=\"field_16\" data-name=\"field_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_16_1fd575aa9943b918d1e2ce577eaf27f0' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_16_7e86425a70e6fe10fac1d41e17e25342><input  type=\"radio\" name=\"field_16\" data-name=\"field_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_16_7e86425a70e6fe10fac1d41e17e25342' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_16_f0aa35ba8d9d6ed5822f515c0576b675><input  type=\"radio\" name=\"field_16\" data-name=\"field_16\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_16_f0aa35ba8d9d6ed5822f515c0576b675' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"17) Has difficulty waiting in line\">17) Has difficulty waiting in line<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_17_169680588db4d736f5453f4bd712d813><input  type=\"radio\" name=\"field_17\" data-name=\"field_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_17_169680588db4d736f5453f4bd712d813' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_17_0fa99d6cf998f204a9b34e0e496549bb><input  type=\"radio\" name=\"field_17\" data-name=\"field_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_17_0fa99d6cf998f204a9b34e0e496549bb' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_17_29263e1ffaebb16a480d800318f52d06><input  type=\"radio\" name=\"field_17\" data-name=\"field_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_17_29263e1ffaebb16a480d800318f52d06' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_17_b4cf935778584dba40a8e76cb4c0f300><input  type=\"radio\" name=\"field_17\" data-name=\"field_17\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_17_b4cf935778584dba40a8e76cb4c0f300' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"18) Interrupts or intrudes on others (eg, butts into conversations\/games)\">18) Interrupts or intrudes on others (eg, butts into conversations\/games)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_18_d9a3367678efb8d3638c9f9cec0a4425><input  type=\"radio\" name=\"field_18\" data-name=\"field_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_18_d9a3367678efb8d3638c9f9cec0a4425' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_18_c769969377c3107c6167a4362d1db136><input  type=\"radio\" name=\"field_18\" data-name=\"field_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_18_c769969377c3107c6167a4362d1db136' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_18_2c3b33a325955939ae475a99f362ae8c><input  type=\"radio\" name=\"field_18\" data-name=\"field_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_18_2c3b33a325955939ae475a99f362ae8c' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_18_de0eaf74de9edc7e6c3bb29fcdab0d65><input  type=\"radio\" name=\"field_18\" data-name=\"field_18\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_18_de0eaf74de9edc7e6c3bb29fcdab0d65' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"19) Loses temper\">19) Loses temper<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_19_ab99390dbb6b1dfb34314d9114b52490><input  type=\"radio\" name=\"field_19\" data-name=\"field_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_19_ab99390dbb6b1dfb34314d9114b52490' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_19_3862e093e49ae29fd6f25c4ef432a3a7><input  type=\"radio\" name=\"field_19\" data-name=\"field_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_19_3862e093e49ae29fd6f25c4ef432a3a7' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_19_1edc4515540abc8986a7c845bbfd547b><input  type=\"radio\" name=\"field_19\" data-name=\"field_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_19_1edc4515540abc8986a7c845bbfd547b' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_19_cd6a3b487354ac9c55cf2905b63563fa><input  type=\"radio\" name=\"field_19\" data-name=\"field_19\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_19_cd6a3b487354ac9c55cf2905b63563fa' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"20) Actively defies or refuses to comply with adult\u2019s requests or rules\">20) Actively defies or refuses to comply with adult\u2019s requests or rules<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_20_64cfe87f7610c6e3d778dd9b238284db><input  type=\"radio\" name=\"field_20\" data-name=\"field_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_20_64cfe87f7610c6e3d778dd9b238284db' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_20_a6514244745c66b94cfbc3e0c521f293><input  type=\"radio\" name=\"field_20\" data-name=\"field_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_20_a6514244745c66b94cfbc3e0c521f293' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_20_8f2f36fd499f995fc95cc07f0b914854><input  type=\"radio\" name=\"field_20\" data-name=\"field_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_20_8f2f36fd499f995fc95cc07f0b914854' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_20_fffc3c728cdc6aba5534d47064473b9a><input  type=\"radio\" name=\"field_20\" data-name=\"field_20\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_20_fffc3c728cdc6aba5534d47064473b9a' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"21) Is angry or resentful\">21) Is angry or resentful<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_21_ebcf95b6e8c5b2f7ab3538b618caef6e><input  type=\"radio\" name=\"field_21\" data-name=\"field_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_21_ebcf95b6e8c5b2f7ab3538b618caef6e' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_21_3e6ee0eb6b64ce95a66ca7b89a57d5a8><input  type=\"radio\" name=\"field_21\" data-name=\"field_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_21_3e6ee0eb6b64ce95a66ca7b89a57d5a8' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_21_0963dad3da39ffcfd06f0fa35781b27d><input  type=\"radio\" name=\"field_21\" data-name=\"field_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_21_0963dad3da39ffcfd06f0fa35781b27d' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_21_58a0b430fd3d1974d8f29645d400e944><input  type=\"radio\" name=\"field_21\" data-name=\"field_21\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_21_58a0b430fd3d1974d8f29645d400e944' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"22) Is spiteful and vindictive\">22) Is spiteful and vindictive<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_22_8e671bdcc0bcecfecde73e956c4e2cc9><input  type=\"radio\" name=\"field_22\" data-name=\"field_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_22_8e671bdcc0bcecfecde73e956c4e2cc9' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_22_6477933989cc0c2b5fab44fe1ce04f8c><input  type=\"radio\" name=\"field_22\" data-name=\"field_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_22_6477933989cc0c2b5fab44fe1ce04f8c' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_22_ed7debaed6cb5f02a7cc31f2e60f7927><input  type=\"radio\" name=\"field_22\" data-name=\"field_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_22_ed7debaed6cb5f02a7cc31f2e60f7927' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_22_ff3a87730751aa09284dd91862fb43d7><input  type=\"radio\" name=\"field_22\" data-name=\"field_22\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_22_ff3a87730751aa09284dd91862fb43d7' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"23) Bullies, threatens, or intimidates others\">23) Bullies, threatens, or intimidates others<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_23_a3e2e5902317994edb5073098c5923a5><input  type=\"radio\" name=\"field_23\" data-name=\"field_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_23_a3e2e5902317994edb5073098c5923a5' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_23_5100c810355ef1ee3d0af3417e381a48><input  type=\"radio\" name=\"field_23\" data-name=\"field_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_23_5100c810355ef1ee3d0af3417e381a48' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_23_c482eaa4a5ea774a97896c4a94ad2aca><input  type=\"radio\" name=\"field_23\" data-name=\"field_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_23_c482eaa4a5ea774a97896c4a94ad2aca' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_23_75623b8588b03e3be90bb7d4365df428><input  type=\"radio\" name=\"field_23\" data-name=\"field_23\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_23_75623b8588b03e3be90bb7d4365df428' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"24) Initiates physical fights\">24) Initiates physical fights<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_24_528052601990f843afc723073c219855><input  type=\"radio\" name=\"field_24\" data-name=\"field_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_24_528052601990f843afc723073c219855' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_24_02dbe7c10e6fa17a963cd636d8b46895><input  type=\"radio\" name=\"field_24\" data-name=\"field_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_24_02dbe7c10e6fa17a963cd636d8b46895' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_24_0e71b6a2e0e49152477e9af1f588e432><input  type=\"radio\" name=\"field_24\" data-name=\"field_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_24_0e71b6a2e0e49152477e9af1f588e432' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_24_6b807524a958391fa2ddf20a31db88f9><input  type=\"radio\" name=\"field_24\" data-name=\"field_24\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_24_6b807524a958391fa2ddf20a31db88f9' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"25) Lies to obtain goods for favors or to avoid obligations (eg, \u201ccons\u201d others)\">25) Lies to obtain goods for favors or to avoid obligations (eg, \u201ccons\u201d others)<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_25_d471d8c0bbf1928063c58a5b21398332><input  type=\"radio\" name=\"field_25\" data-name=\"field_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_25_d471d8c0bbf1928063c58a5b21398332' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_25_06b96aa1ca818220586637c4a0a365dd><input  type=\"radio\" name=\"field_25\" data-name=\"field_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_25_06b96aa1ca818220586637c4a0a365dd' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_25_3380bdb26a1cfd5ccda633fac7ceef01><input  type=\"radio\" name=\"field_25\" data-name=\"field_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_25_3380bdb26a1cfd5ccda633fac7ceef01' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_25_7324e8a58445ef4a8f433a6f9942bf25><input  type=\"radio\" name=\"field_25\" data-name=\"field_25\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_25_7324e8a58445ef4a8f433a6f9942bf25' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"26) Is physically cruel to people\">26) Is physically cruel to people<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_26_6a7e53707adc0843bd3d59064dd6ea37><input  type=\"radio\" name=\"field_26\" data-name=\"field_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_26_6a7e53707adc0843bd3d59064dd6ea37' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_26_5d2150db38aad019e0727aedd3e586d0><input  type=\"radio\" name=\"field_26\" data-name=\"field_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_26_5d2150db38aad019e0727aedd3e586d0' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_26_35686f22d5be6490b0a94aefecf82746><input  type=\"radio\" name=\"field_26\" data-name=\"field_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_26_35686f22d5be6490b0a94aefecf82746' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_26_468595dbaea99f144087beba1b87dd46><input  type=\"radio\" name=\"field_26\" data-name=\"field_26\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_26_468595dbaea99f144087beba1b87dd46' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"27) Has stolen items of nontrivial value\">27) Has stolen items of nontrivial value<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_27_27a782986b0d6fa044540288f375adcd><input  type=\"radio\" name=\"field_27\" data-name=\"field_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_27_27a782986b0d6fa044540288f375adcd' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_27_9fe6d9fdfc754de3ba22ae8d4a9b79ff><input  type=\"radio\" name=\"field_27\" data-name=\"field_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_27_9fe6d9fdfc754de3ba22ae8d4a9b79ff' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_27_a5ea3b9298e66b189abd2341abfff104><input  type=\"radio\" name=\"field_27\" data-name=\"field_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_27_a5ea3b9298e66b189abd2341abfff104' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_27_fcac9fc925c9081cb2dee3069bc8a0b5><input  type=\"radio\" name=\"field_27\" data-name=\"field_27\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_27_fcac9fc925c9081cb2dee3069bc8a0b5' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"28) Deliberately destroys others\u2019 property\">28) Deliberately destroys others\u2019 property<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_28_e67840393affe4000abe3f6924b91ade><input  type=\"radio\" name=\"field_28\" data-name=\"field_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_28_e67840393affe4000abe3f6924b91ade' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_28_d5a19e669579487118c0e7da0b9dcb7c><input  type=\"radio\" name=\"field_28\" data-name=\"field_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_28_d5a19e669579487118c0e7da0b9dcb7c' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_28_5112db7be8320b7ef3f0f8d0413ecc92><input  type=\"radio\" name=\"field_28\" data-name=\"field_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_28_5112db7be8320b7ef3f0f8d0413ecc92' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_28_bb7a30e77fc398cced6e2a38c63127df><input  type=\"radio\" name=\"field_28\" data-name=\"field_28\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_28_bb7a30e77fc398cced6e2a38c63127df' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"29) Is fearful, anxious, or worried\">29) Is fearful, anxious, or worried<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_29_55d8ba040f35db1578dd1e832b3fc46a><input  type=\"radio\" name=\"field_29\" data-name=\"field_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_29_55d8ba040f35db1578dd1e832b3fc46a' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_29_464f3ed23e931894203fe2b489b13fa3><input  type=\"radio\" name=\"field_29\" data-name=\"field_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_29_464f3ed23e931894203fe2b489b13fa3' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_29_87f0599ba8e12f104557e1b916b6de49><input  type=\"radio\" name=\"field_29\" data-name=\"field_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_29_87f0599ba8e12f104557e1b916b6de49' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_29_b721cd186365ba427ca633a2ea65a30d><input  type=\"radio\" name=\"field_29\" data-name=\"field_29\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_29_b721cd186365ba427ca633a2ea65a30d' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"30) Is self-conscious or easily embarrassed\">30) Is self-conscious or easily embarrassed<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_30_76d1624e2f269c0d58890891d69e67e8><input  type=\"radio\" name=\"field_30\" data-name=\"field_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_30_76d1624e2f269c0d58890891d69e67e8' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_30_f29a824e92e094fc025a26cdc54bc455><input  type=\"radio\" name=\"field_30\" data-name=\"field_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_30_f29a824e92e094fc025a26cdc54bc455' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_30_0c1994983a358641368ee5fed290f3f4><input  type=\"radio\" name=\"field_30\" data-name=\"field_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_30_0c1994983a358641368ee5fed290f3f4' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_30_fa7a96cd5b0daf9d82aa514f973b30c0><input  type=\"radio\" name=\"field_30\" data-name=\"field_30\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_30_fa7a96cd5b0daf9d82aa514f973b30c0' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"31) Is afraid to try new things for fear of making mistakes\">31) Is afraid to try new things for fear of making mistakes<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_31_714c62dfec355c9cd094c3ea13c0bb4b><input  type=\"radio\" name=\"field_31\" data-name=\"field_31\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_31_714c62dfec355c9cd094c3ea13c0bb4b' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_31_61b64a4277afd76b621e11ccdb011ce9><input  type=\"radio\" name=\"field_31\" data-name=\"field_31\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_31_61b64a4277afd76b621e11ccdb011ce9' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_31_55107ec6682fdb2b524baa57b3505e57><input  type=\"radio\" name=\"field_31\" data-name=\"field_31\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_31_55107ec6682fdb2b524baa57b3505e57' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_31_de288ec674fef512d63e5b9bfaf91d8d><input  type=\"radio\" name=\"field_31\" data-name=\"field_31\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_31_de288ec674fef512d63e5b9bfaf91d8d' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"32) Feels worthless or inferior\">32) Feels worthless or inferior<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_32_c76ceb2d07c3fb3d9ddb8ff8873d3fd4><input  type=\"radio\" name=\"field_32\" data-name=\"field_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_32_c76ceb2d07c3fb3d9ddb8ff8873d3fd4' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_32_20e5e20ebbd6bfafe570ec7585162a9b><input  type=\"radio\" name=\"field_32\" data-name=\"field_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_32_20e5e20ebbd6bfafe570ec7585162a9b' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_32_3b3030f301aeabc5d9ba6b9cd42df67c><input  type=\"radio\" name=\"field_32\" data-name=\"field_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_32_3b3030f301aeabc5d9ba6b9cd42df67c' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_32_23ff6bdcd2a2a811cc7fe959f87d382f><input  type=\"radio\" name=\"field_32\" data-name=\"field_32\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_32_23ff6bdcd2a2a811cc7fe959f87d382f' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"33) Blames self for problems; feels guilty\">33) Blames self for problems; feels guilty<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_33_5b195c14320bab2067cc794da14ff94e><input  type=\"radio\" name=\"field_33\" data-name=\"field_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_33_5b195c14320bab2067cc794da14ff94e' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_33_56738a7e1e5c875f13a2495da7765360><input  type=\"radio\" name=\"field_33\" data-name=\"field_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_33_56738a7e1e5c875f13a2495da7765360' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_33_7dd6d22a7ca28b7827d14f8d6de8f889><input  type=\"radio\" name=\"field_33\" data-name=\"field_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_33_7dd6d22a7ca28b7827d14f8d6de8f889' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_33_d2c5b601c2bdbeaba5185b0f9e4e2cfd><input  type=\"radio\" name=\"field_33\" data-name=\"field_33\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_33_d2c5b601c2bdbeaba5185b0f9e4e2cfd' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"34) Feels lonely, unwanted, or unloved; complains that \u201cno one loves him or her\u201d\">34) Feels lonely, unwanted, or unloved; complains that \u201cno one loves him or her\u201d<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_34_5269d366985201f9745892068eafaad4><input  type=\"radio\" name=\"field_34\" data-name=\"field_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_34_5269d366985201f9745892068eafaad4' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_34_6d76c2ac46e64cb58dab458d935fd082><input  type=\"radio\" name=\"field_34\" data-name=\"field_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_34_6d76c2ac46e64cb58dab458d935fd082' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_34_ea9c79772b945d84aa78a0e967b4a402><input  type=\"radio\" name=\"field_34\" data-name=\"field_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_34_ea9c79772b945d84aa78a0e967b4a402' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_34_59474c88ccc9b9dd38f151cf583abcb3><input  type=\"radio\" name=\"field_34\" data-name=\"field_34\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_34_59474c88ccc9b9dd38f151cf583abcb3' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"35) Is sad, unhappy, or depressed\">35) Is sad, unhappy, or depressed<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_35_33e70ac73964bdef71fa14dfaa00a746><input  type=\"radio\" name=\"field_35\" data-name=\"field_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_35_33e70ac73964bdef71fa14dfaa00a746' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_35_f7d4c052ce9dd9ae8e5b97c8cc392948><input  type=\"radio\" name=\"field_35\" data-name=\"field_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_35_f7d4c052ce9dd9ae8e5b97c8cc392948' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_35_43e00508f1210fd9cfd381b9808ea1c2><input  type=\"radio\" name=\"field_35\" data-name=\"field_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_35_43e00508f1210fd9cfd381b9808ea1c2' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_35_c3c892c10d32a1c1442356875d9c3dd4><input  type=\"radio\" name=\"field_35\" data-name=\"field_35\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"0\" data-calc_value=\"0\"  id='field_35_c3c892c10d32a1c1442356875d9c3dd4' aria-label='0' aria-invalid='false' aria-required=true> <span>0<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_4\" ><div class=\"col-sm-8\">\n<div class=\"col-sm-8\">\n<h3 class=\"badge\">Academic Performance<\/h3>\n<\/div>\n<\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_5\" ><p><strong>Excellent = 1 | Above Average = 2 | Average = 3 | Somewhat of a Problem = 4 | Problematic = 5<\/strong><\/p><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"36) Reading\">36) Reading<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_36_49fd646ea35c84efdad2f624a7635c14><input  type=\"radio\" name=\"field_36\" data-name=\"field_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_36_49fd646ea35c84efdad2f624a7635c14' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_36_8bf0b8c9bdfc1009c02c8ba0e05f83bb><input  type=\"radio\" name=\"field_36\" data-name=\"field_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_36_8bf0b8c9bdfc1009c02c8ba0e05f83bb' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_36_5fd46730d8b3a632ffde7e3482994149><input  type=\"radio\" name=\"field_36\" data-name=\"field_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_36_5fd46730d8b3a632ffde7e3482994149' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_36_d35596c09e90e6727c3d61ec9566d62f><input  type=\"radio\" name=\"field_36\" data-name=\"field_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_36_d35596c09e90e6727c3d61ec9566d62f' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_36_52857b26939c2caf6766850820022f93><input  type=\"radio\" name=\"field_36\" data-name=\"field_36\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_36_52857b26939c2caf6766850820022f93' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"37) Mathematics\">37) Mathematics<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_37_181ee808550e40f816aec1f7bb788457><input  type=\"radio\" name=\"field_37\" data-name=\"field_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_37_181ee808550e40f816aec1f7bb788457' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_37_ed846112631745727ee9530508e39729><input  type=\"radio\" name=\"field_37\" data-name=\"field_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_37_ed846112631745727ee9530508e39729' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_37_1dbb256f50bcf48a1cc242951add43f7><input  type=\"radio\" name=\"field_37\" data-name=\"field_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_37_1dbb256f50bcf48a1cc242951add43f7' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_37_f65429954bf3e865c1e3102340f3cafa><input  type=\"radio\" name=\"field_37\" data-name=\"field_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_37_f65429954bf3e865c1e3102340f3cafa' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_37_c7edf2a628f94479706670d69b744042><input  type=\"radio\" name=\"field_37\" data-name=\"field_37\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_37_c7edf2a628f94479706670d69b744042' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"38) Written expression\">38) Written expression<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_38_33a0e1530d61b2a91f88e00a71a60632><input  type=\"radio\" name=\"field_38\" data-name=\"field_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_38_33a0e1530d61b2a91f88e00a71a60632' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_38_e6be87f0d93b773509749850378517a9><input  type=\"radio\" name=\"field_38\" data-name=\"field_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_38_e6be87f0d93b773509749850378517a9' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_38_690701106c6a9e6b70293a2b4da18aac><input  type=\"radio\" name=\"field_38\" data-name=\"field_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_38_690701106c6a9e6b70293a2b4da18aac' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_38_bae8b627001f14c60409362d98386ae0><input  type=\"radio\" name=\"field_38\" data-name=\"field_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_38_bae8b627001f14c60409362d98386ae0' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_38_9ad8757eb2971419774e49f4e0329f88><input  type=\"radio\" name=\"field_38\" data-name=\"field_38\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_38_9ad8757eb2971419774e49f4e0329f88' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_6\" ><div class=\"col-sm-8\">\n<h3 class=\"badge\">Classroom Behavioral Performance<\/h3>\n<\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_7\" ><p><strong>Excellent = 1 | Above Average = 2 | Average = 3 | Somewhat of a Problem = 4 | Problematic = 5<\/strong><\/p><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"39) Relationship with peers\">39) Relationship with peers<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_39_96d48ffa7082dc4365859a776201bc38><input  type=\"radio\" name=\"field_39\" data-name=\"field_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_39_96d48ffa7082dc4365859a776201bc38' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_39_32e71953b35250091c14b73c1dd299f6><input  type=\"radio\" name=\"field_39\" data-name=\"field_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_39_32e71953b35250091c14b73c1dd299f6' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_39_e0fc38af19a5f1a9b17f55abbba6acc9><input  type=\"radio\" name=\"field_39\" data-name=\"field_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_39_e0fc38af19a5f1a9b17f55abbba6acc9' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_39_8dfa14285af2e13cc16c45b9e6fbaf69><input  type=\"radio\" name=\"field_39\" data-name=\"field_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_39_8dfa14285af2e13cc16c45b9e6fbaf69' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_39_9415f436433c0ecbbda224b76702aab3><input  type=\"radio\" name=\"field_39\" data-name=\"field_39\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_39_9415f436433c0ecbbda224b76702aab3' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"40) Following directions\">40) Following directions<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_40_e7b10d5bfe1be764d45392c6f270380d><input  type=\"radio\" name=\"field_40\" data-name=\"field_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_40_e7b10d5bfe1be764d45392c6f270380d' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_40_e20e108d8bdb3e3c861c3f7e7be024b0><input  type=\"radio\" name=\"field_40\" data-name=\"field_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_40_e20e108d8bdb3e3c861c3f7e7be024b0' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_40_93f43fc5e950dbdec427e4621f528fce><input  type=\"radio\" name=\"field_40\" data-name=\"field_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_40_93f43fc5e950dbdec427e4621f528fce' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_40_134e27d9c7dd87b4bd756c5d1da0e24d><input  type=\"radio\" name=\"field_40\" data-name=\"field_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_40_134e27d9c7dd87b4bd756c5d1da0e24d' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_40_271261a76bcb4160fb3b008eb0e5cd9d><input  type=\"radio\" name=\"field_40\" data-name=\"field_40\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_40_271261a76bcb4160fb3b008eb0e5cd9d' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"41) Disrupting class\">41) Disrupting class<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_41_107aad722e3cbab7d9e06591f5ed0fb9><input  type=\"radio\" name=\"field_41\" data-name=\"field_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_41_107aad722e3cbab7d9e06591f5ed0fb9' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_41_ea423e7b040b60a97599cc1e974ba40d><input  type=\"radio\" name=\"field_41\" data-name=\"field_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_41_ea423e7b040b60a97599cc1e974ba40d' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_41_386c40204b8383bcc5ff6f8e5c65ca85><input  type=\"radio\" name=\"field_41\" data-name=\"field_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_41_386c40204b8383bcc5ff6f8e5c65ca85' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_41_e3df190bbc8daa6689462cd5b8668083><input  type=\"radio\" name=\"field_41\" data-name=\"field_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_41_e3df190bbc8daa6689462cd5b8668083' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_41_0ec5bbdd96ef2802b63ecbe83890b0a5><input  type=\"radio\" name=\"field_41\" data-name=\"field_41\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_41_0ec5bbdd96ef2802b63ecbe83890b0a5' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"42) Assignment completion\">42) Assignment completion<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_42_9397689da40f5ffef30075ad202ca5ba><input  type=\"radio\" name=\"field_42\" data-name=\"field_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_42_9397689da40f5ffef30075ad202ca5ba' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_42_d2bef69313e6247d9fbce0b3e29ff91a><input  type=\"radio\" name=\"field_42\" data-name=\"field_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_42_d2bef69313e6247d9fbce0b3e29ff91a' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_42_66828279c56a40eb3084731f73813558><input  type=\"radio\" name=\"field_42\" data-name=\"field_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_42_66828279c56a40eb3084731f73813558' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_42_a6eafc8bf44895d5268e9d90d2050fa1><input  type=\"radio\" name=\"field_42\" data-name=\"field_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_42_a6eafc8bf44895d5268e9d90d2050fa1' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_42_f16342e629d66116652d74fe86788859><input  type=\"radio\" name=\"field_42\" data-name=\"field_42\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_42_f16342e629d66116652d74fe86788859' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group teacher_fields_second'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label  aria-label=\"43) Organizational skills\">43) Organizational skills<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_43_973d7abfb948fdee9e3d12ace439b8c4><input  type=\"radio\" name=\"field_43\" data-name=\"field_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"5\" data-calc_value=\"5\"  id='field_43_973d7abfb948fdee9e3d12ace439b8c4' aria-label='5' aria-invalid='false' aria-required=true> <span>5<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_43_357bbc8d7331ac0cbb25e8869757834d><input  type=\"radio\" name=\"field_43\" data-name=\"field_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"4\" data-calc_value=\"4\"  id='field_43_357bbc8d7331ac0cbb25e8869757834d' aria-label='4' aria-invalid='false' aria-required=true> <span>4<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_43_d00da354df807b04eacea80b2bcc6504><input  type=\"radio\" name=\"field_43\" data-name=\"field_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"3\" data-calc_value=\"3\"  id='field_43_d00da354df807b04eacea80b2bcc6504' aria-label='3' aria-invalid='false' aria-required=true> <span>3<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_43_ad873da606d356380bd6e616a6d323eb><input  type=\"radio\" name=\"field_43\" data-name=\"field_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"2\" data-calc_value=\"2\"  id='field_43_ad873da606d356380bd6e616a6d323eb' aria-label='2' aria-invalid='false' aria-required=true> <span>2<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for=field_43_ff0bbe53928682d143b8e379155c74b9><input  type=\"radio\" name=\"field_43\" data-name=\"field_43\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"1\" data-calc_value=\"1\"  id='field_43_ff0bbe53928682d143b8e379155c74b9' aria-label='1' aria-invalid='false' aria-required=true> <span>1<\/span><\/label><\/div><div class='ff-el-help-message'><span class=\"meddescript fltdesleft\">Never<\/span>\n<span class=\"meddescript fltdesright\">Very often<\/span><\/div><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_average_performance_score' aria-label=\"Average Performance Score\">Average Performance Score<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"average_performance_score\" class=\"ff-el-form-control average_performance_score\" data-name=\"average_performance_score\" id=\"ff_9_average_performance_score\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_predominantly_inattentive_subtype' aria-label=\"Predominantly Inattentive Subtype\">Predominantly Inattentive Subtype<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"predominantly_inattentive_subtype\" class=\"ff-el-form-control predominantly_inattentive_subtype\" data-name=\"predominantly_inattentive_subtype\" id=\"ff_9_predominantly_inattentive_subtype\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_predominantly_hyperactive_impulsive_subtype' aria-label=\"Predominantly Hyperactive\/Impulsive Subtype\">Predominantly Hyperactive\/Impulsive Subtype<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"predominantly_hyperactive_impulsive_subtype\" class=\"ff-el-form-control predominantly_hyperactive-impulsive_subtype\" data-name=\"predominantly_hyperactive_impulsive_subtype\" id=\"ff_9_predominantly_hyperactive_impulsive_subtype\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_adhd_combined_inattention_hyperactivity' aria-label=\"ADHD Combined Inattention\/Hyperactivity\">ADHD Combined Inattention\/Hyperactivity<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"adhd_combined_inattention_hyperactivity\" class=\"ff-el-form-control adhd_combined_inattention-hyperactivity\" data-name=\"adhd_combined_inattention_hyperactivity\" id=\"ff_9_adhd_combined_inattention_hyperactivity\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_oppositional_defiant_disorder_screen' aria-label=\"Oppositional-Defiant Disorder Screen\">Oppositional-Defiant Disorder Screen<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"oppositional_defiant_disorder_screen\" class=\"ff-el-form-control oppositional_defiant_disorder_screen\" data-name=\"oppositional_defiant_disorder_screen\" id=\"ff_9_oppositional_defiant_disorder_screen\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group ff-el-form-hide_label hide'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_9_anxiety_depression_screen' aria-label=\"Anxiety\/Depression Screen\">Anxiety\/Depression Screen<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"anxiety_depression_screen\" class=\"ff-el-form-control anxiety-depression_screen\" data-name=\"anxiety_depression_screen\" id=\"ff_9_anxiety_depression_screen\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group  ff-custom_html' data-name=\"custom_html-9_8\" ><button id=\"calculateestimate\">CALCULATE<\/button><\/div><div class='ff-el-group ff-text-left submitform ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-submit ff-btn-md submithide ff_btn_style wpf_has_custom_css\" type=\"submit\" name=\"custom_submit_button-9_9\" data-name=\"custom_submit_button-9_9\" >Submit<\/button><style>form.fluent_form_9 .wpf_has_custom_css.ff-btn-submit { background-color:#409EFF;border-color:#409EFF;color:#ffffff; }form.fluent_form_9 .wpf_has_custom_css.ff-btn-submit:hover { background-color:#ffffff;border-color:#409EFF;color:#409EFF;min-width:100%; } <\/style><\/div><\/fieldset><\/form><div id='fluentform_9_errors' class='ff-errors-in-stack ff_form_instance_9_1 ff-form-loading_errors ff_form_instance_9_1_errors'><\/div><\/div>        <script type=\"text\/javascript\">\n            window.fluent_form_ff_form_instance_9_1 = 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