Student Name - - - - - - - - - - - - - - - - - - : - - - - - - - - - - -
Teacher _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Grade _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date _ _ _ _ _ _~ _ -
Scoring key: 5 = Strongly Agree (SA) 2 = Disagree (D)
4 = Agree (A) 1 = Strongly Disagree (SD)
3 = Undecided (U)
Scales
0 bservational Social Physiological
General Feedback States
s
Perception Progress Comparison
1. 5 10. 4.r 'l 2.
G
5.t-
8.
13. 5 6. 3.
1s.f> 11. t 7. 'b 16. 5
18. 6 14. '!> 9.
l.l 21. l/ .
) 6 20. 12. 25. l/
19.
l/
23 . .6 22. fl 11.
30.
b
?;,
26.
29.6
-
b
24.5
27.
6 31. 32.
28. 5 33.
Raw score
4?, of 45 1'-1 of30 ?, b of 45 _32._of40
Score interpretation
26+ 38+ 37+
High 44+
@; @ @
Average
16 27 25
Low 34
Henk, W.A., & Melnick, S.A. (1995). The Reader Self-Perception Scale (RSPS): A new tool for measurincrI:> how children fee l about
themselves as readers. The Reading Teache1~ 48, 470-482. Reprinted with pe1mission.
52