VIDEO CRITIQUE FOR LEVEL III DISC CERTIFICATION

NAME: ________________________________________


Please respond to the following questions related
to the video sample that you are submitting. 


1. Where does the screening take place?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

2. What concerns were raised about the child's
developmental progress?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

3. In what order were the DSIC Scales administered?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________


4.  At what item did you begin screening on the
first DISC scale?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

5. Were any items omitted for any reason?
If yes, please explain.

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

6. In reviewing your video, please identify any
items administered incorrectly and explain how
they should have been administered?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

7. In reviewing your video, please identify any
items administered incorrectly and explain how
they should have been administered?

Positive:

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

Negative:

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

8. How would you revise your strategy for your
next screening with the DISC?

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

9. Please ask any questions that you still might have
after reviewing your video and the DISC instruction manual.

_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________