Rating Scale
N/ANot Applicable
1Rarely (<25%)
2Sometimes (25-50%)
3Most cases (50-75%)
4Majority (>75%)
Use the full range. Score 4 only if the person demonstrates the behavior more than 75% of the time. Score 1 only if less than 25%. If you score 1 or 4, a written comment explaining that score is required.
All submissions are confidential and delivered only to Dr. Gray. Anonymous submissions will not include your name. Please base your ratings on your own direct observations.