Please enable JavaScript in your browser to complete this form.NameFirstLastDate of BirthAssessment DateTeacherDebra HendrixLaToya BrownLaconia WashingtonAlicia WoodsJulian ChambersAngela YoungPatricia GriffinLyMari WoodruffLaKeisha WaitesElysha JonesRoShanda TaylorTee PorterAlisia JacksonEnglish/ Language ArtsYes / NoCommentsDemonstrate continual growth in understanding increasingly complex and varied vocabularyDemonstrate continual growth in understanding increasingly complex and varied vocabularyYesNoCommentsResponds to words or gesturesResponds to words or gesturesYesNoCommentsRecognize familiar objects, people, and voicesRecognize familiar objects, people, and voicesYesNoCommentsOrient to sounds in the environmentOrient to sounds in the environmentYesNoCommentsUse facial expressions to communicateUse facial expressions to communicateYesNoCommentsUse simple vocalizations to communicateUse simple vocalizations to communicateYesNoCommentsExpress sounds and patterns of home languageExpress sounds and patterns of home languageYesNoCommentsJointly attend to an object, event, or personJointly attend to an object, event, or personYesNoCommentsLook at booksLook at booksYesNoCommentsResponds to SongsResponds to SongsYesNoCommentsDemonstrate interest in hearing a familiar story or bookDemonstrate interest in hearing a familiar story or bookYesNoCommentsAttend to caregiver’s voice while being held and/ or read toAttend to caregiver’s voice while being held and/ or read toYesNoCommentsUse objects such as a crayon to make marksUse objects such as a crayon to make marksYesNoCommentsNextMathYes / NoCommentsRepeat a movement like a clapRepeat a movement like a clapYesNoCommentsExplore objects one at a timeExplore objects one at a timeYesNoCommentsSocial Emotional SkillsSocial Emotional SkillsYesNoCommentsIndicate a desire for moreIndicate a desire for moreYesNoCommentsGives more when askedGives more when askedYesNoCommentsShows interest in visual, auditory, and tactile patternsShows interest in visual, auditory, and tactile patternsYesNoCommentsExplore how things fit and moveExplore how things fit and moveYesNoCommentsPut object in, out, on, and off of other thingsPut object in, out, on, and off of other thingsYesNoCommentsCooperate with a routineCooperate with a routineYesNoCommentsExplore objects with different shapes and sizesExplore objects with different shapes and sizesYesNoCommentsBegin to understand that different size containers hold more or lessBegin to understand that different size containers hold more or lessYesNoCommentsNextSocial Emotional SkillsYes / NoCommentsResponds to own nameResponds to own nameYesNoCommentsShow interest in environmental choicesShow interest in environmental choicesYesNoCommentsCommunicate to indicate physical and emotional needsCommunicate to indicate physical and emotional needsYesNoCommentsCommunicate to express pleasure or displeasureCommunicate to express pleasure or displeasureYesNoCommentsUses cues to signal overstimulationUses cues to signal overstimulationYesNoCommentsRespond positively to adults who provide comfortRespond positively to adults who provide comfortYesNoCommentsUses sounds and body to express feelingsUses sounds and body to express feelingsYesNoCommentsDevelop an awareness of transitions, schedules, and routines with adult promptsDevelop an awareness of transitions, schedules, and routines with adult promptsYesNoCommentsDevelop self- soothing when an adult provides comfort techniquesDevelop self- soothing when an adult provides comfort techniquesYesNoCommentsExpress desires and feelings by usingExpress desires and feelings by usingYesNoCommentsgestures and actionsgestures and actionsYesNoCommentsShow awareness of possible conflict by demonstrating distressShow awareness of possible conflict by demonstrating distressYesNoCommentsEngages in simple social interactions with adultsEngages in simple social interactions with adultsYesNoCommentsExhibit caution of unfamiliar adultsExhibit caution of unfamiliar adultsYesNoCommentsUse key adults as a secure base when exploring the environmentUse key adults as a secure base when exploring the environmentYesNoCommentsNotice other children in their environmentNotice other children in their environmentYesNoCommentsEngage in onlooker playEngage in onlooker playYesNoCommentsBegin to exhibit skills in solitary playBegin to exhibit skills in solitary playYesNoCommentsRespond to a stimulating environmentRespond to a stimulating environmentYesNoCommentsNextApproaches to Play and LearningYes / NoCommentsRespond to a stimulating environmentRespond to a stimulating environmentYesNoCommentsShow curiosity/ interest in surroundingsShow curiosity/ interest in surroundingsYesNoCommentsShow eagerness and delight in self, others, and surroundingsShow eagerness and delight in self, others, and surroundingsYesNoCommentsShow budding interest in how objects workShow budding interest in how objects workYesNoCommentsTry a variety of approaches to get desired outcomesTry a variety of approaches to get desired outcomesYesNoCommentsPhysically explore new ways to use objects and observe resultsPhysically explore new ways to use objects and observe resultsYesNoCommentsManipulate objectsManipulate objectsYesNoCommentsImitate actionsImitate actionsYesNoCommentsExamine objects for brief periods of timeExamine objects for brief periods of timeYesNoCommentsExpress discomfort when needs are not metExpress discomfort when needs are not metYesNoCommentsRepeat actions to make something happen againRepeat actions to make something happen againYesNoCommentsEngage in onlooker playEngage in onlooker playYesNoCommentsBegin to exhibit skills in solitary playBegin to exhibit skills in solitary playYesNoCommentsShow interest in children who are playing nearbyShow interest in children who are playing nearbyYesNoCommentsNextScienceObserve and experience the environment using all five sensesObserve and experience the environment using all five sensesYesNoCommentsReact to changes in lightReact to changes in lightYesNoCommentsFocus attention on sounds, movement, and objectsFocus attention on sounds, movement, and objectsYesNoCommentsNotice cause and effect within the physical environmentNotice cause and effect within the physical environmentYesNoCommentsPerform actions with objects and observe resultsPerform actions with objects and observe resultsYesNoCommentsEstablish activity patterns based on day and nightEstablish activity patterns based on day and nightYesNoCommentsExplore and react to different indoor and outdoor surfacesExplore and react to different indoor and outdoor surfacesYesNoCommentsObserve and experience the difference in climate/ weatherObserve and experience the difference in climate/ weatherYesNoCommentsDemonstrate interest in and interact with plants, animals, and peopleDemonstrate interest in and interact with plants, animals, and peopleYesNoCommentsDemonstrate an interest in human made objectsDemonstrate an interest in human made objectsYesNoCommentsExplore and manipulate human made objectsExplore and manipulate human made objectsYesNoCommentsObserve and show interest in objects, organisms, and events in the environmentObserve and show interest in objects, organisms, and events in the environmentYesNoCommentsActively explore the environment Actively explore the environment YesNoCommentsRepeat actions that causes an interesting effectRepeat actions that causes an interesting effectYesNoCommentsNextSocial StudiesRespond to celebrations and other cultural events if observedRespond to celebrations and other cultural events if observedYesNoCommentsEngage in onlooker playEngage in onlooker playYesNoCommentsBegin to separate self from othersBegin to separate self from othersYesNoCommentsShow affection and bonds with familiar adultsShow affection and bonds with familiar adultsYesNoCommentsDemonstrate comfort in familiar routines, objects, and materialsDemonstrate comfort in familiar routines, objects, and materialsYesNoCommentsRespond to adult guidance about behaviorRespond to adult guidance about behaviorYesNoCommentsBegin to discover use of body and objects in the environmentBegin to discover use of body and objects in the environmentYesNoCommentsExplore the immediate environmentExplore the immediate environmentYesNoCommentsDemonstrate preference for specific objects and peopleDemonstrate preference for specific objects and peopleYesNoCommentsInteract with the environment to make needs knownInteract with the environment to make needs knownYesNoCommentsNextCreative ArtsResponds to music by moving own bodyResponds to music by moving own bodyYesNoCommentsExperiment with vocalizations and soundsExperiment with vocalizations and soundsYesNoCommentsResponds to music with body movementsResponds to music with body movementsYesNoCommentsExplore simple art materialsExplore simple art materialsYesNoCommentsRespond to various textures and sensory materialsRespond to various textures and sensory materialsYesNoCommentsShow preference for particular visual stimuliShow preference for particular visual stimuliYesNoCommentsEngages in onlooker playEngages in onlooker playYesNoCommentsBegin to exhibit skills in solitary playBegin to exhibit skills in solitary playYesNoCommentsBegin to imitate the actions and expressions of caregiversBegin to imitate the actions and expressions of caregiversYesNoCommentsBegin to recognize that certain actions will draw responsesBegin to recognize that certain actions will draw responsesYesNoCommentsNextPhysical Health and GrowthPassively participate in health and hygiene- related behaviors initiated by an adultPassively participate in health and hygiene- related behaviors initiated by an adultYesNoCommentsUse key adults as a secure base when exploring the environmentUse key adults as a secure base when exploring the environmentYesNoCommentsSeek reassurance from a trusted caregiver when encountering an unfamiliar person or objectSeek reassurance from a trusted caregiver when encountering an unfamiliar person or objectYesNoCommentsExpress when hungryExpress when hungryYesNoCommentsShow food preferencesShow food preferencesYesNoCommentsBegin following a regular eating routineBegin following a regular eating routineYesNoCommentsDemonstrate awareness of different textures of foodDemonstrate awareness of different textures of foodYesNoCommentsHelp with self- feedingHelp with self- feedingYesNoCommentsManipulate objects to see what will happenManipulate objects to see what will happenYesNoCommentsShow awareness of own body and start to move intentionallyShow awareness of own body and start to move intentionallyYesNoCommentsInteract with adults in physical activitiesInteract with adults in physical activitiesYesNoCommentsDemonstrate hand-eye coordination and participate in a variety of activities to enhance coordinationDemonstrate hand-eye coordination and participate in a variety of activities to enhance coordinationYesNoCommentsBegin to develop coordination and balance often with supportBegin to develop coordination and balance often with supportYesNoCommentsDevelop control of head and back, progressing to arms and legsDevelop control of head and back, progressing to arms and legsYesNoCommentsDemonstrate continual progression in oral muscle tone, strength, and range of motion, leading to more complex oral movement and controlDemonstrate continual progression in oral muscle tone, strength, and range of motion, leading to more complex oral movement and controlYesNoCommentsParticipate passively in dressing and undressingParticipate passively in dressing and undressingYesNoCommentsThe purpose of this assessment is to inform planning for overall program improvements. This assessment should be done individually during center time or free play by the director, lead teacher or assistant teacher in this particular classroom. Listen to repetition of familiar words, songs, signs, rhymes, and stories Demonstrate interest in hearing a familiar story or book Attend to caregiver’s voice while being held and/ or read to PhoneSubmit
