Please enable JavaScript in your browser to complete this form.Child's Name *Date of BirthTeacher’s Name: *Assessment DateEnglish/ Language ArtsDemonstrate continual growth in understanding increasingly complex and varied vocabularyYes/NoYesNoCommentsRespond to complex gestures and/or actions to communicate (such as comforting others who are crying)Yes/NoYesNoCommentsListen to and follow multi-step directions with adult supportYes/NoYesNoCommentsDemonstrate continual growth in increasingly varied and complex vocabularyYes/NoYesNoCommentsUse complex gestures and actions to communicateYes/NoYesNoCommentsUse expanded sentencesYes/NoYesNoCommentsDescribe activities and experiences with detailYes/NoYesNoCommentsAnswer questions posed by adults or peersYes/NoYesNoCommentsAsk questions for understanding and clarityYes/NoYesNoCommentsMake on topic commentsYes/NoYesNoCommentsStay on topic in two-way conversation with othersYes/NoYesNoCommentsRecognize and identify same uppercase and a few lowercase lettersYes/NoYesNoCommentsDemonstrate basic knowledge of letter-sound correspondenceYes/NoYesNoCommentsEngage in rhyming games and songs; can complete a familiar rhymeYes/NoYesNoCommentsIdentify rhyming words in spoken languageYes/NoYesNoCommentsOrally blend and segment familiar compound words, with modeling and supportYes/NoYesNoCommentsDemonstrate awareness of sounds as separate unitsYes/NoYesNoCommentsBegin to understands that books are comprised of written wordsYes/NoYesNoCommentsRespond to and interact with read alouds of literary and informational textYes/NoYesNoCommentsHold books right side up and turn pages left to rightYes/NoYesNoCommentsRespond and interact with stories (fictional and nonfictional)Yes/NoYesNoCommentsAnswer questions about a storyYes/NoYesNoCommentsWith adult support retell familiar storiesYes/NoYesNoCommentsRecognize that drawings, paintings, and writings are meaningful representationsYes/NoYesNoCommentsCopy simple lines and shapesYes/NoYesNoCommentsCreate a simple pictureYes/NoYesNoCommentsUse writing tools with adult supportYes/NoYesNoCommentsCreate writing with the intent of communicatingYes/NoYesNoCommentsDictate a story for an adult to writeYes/NoYesNoCommentsUse pictures, letters, and symbols to communicate a story.Yes/NoYesNoCommentsMath Age Comments Comments Count the number sequence 1-15Yes/NoYesNoCommentsCount backward from 5 with adult supportYes/NoYesNoCommentsRecognize that the count remains the same regardless of the order or arrangement of the objectsYes/NoYesNoCommentsApply one to one correspondence with objects and peopleYes/NoYesNoCommentsDraw pictures, symbols, or use manipulatives to represent a spoken number 0-5Yes/NoYesNoCommentsIdentify, without counting, small quantities of items (1-3) presented in an irregular or unfamiliar pattern (subsidize)Yes/NoYesNoCommentsMatch number symbols with amounts 1-3Yes/NoYesNoCommentsReadily identify first and lastYes/NoYesNoCommentsCorrectly use the words for comparing quantitiesYes/NoYesNoCommentsSeparate sets of 6 or fewer objects into equal groupsYes/NoYesNoCommentsDemonstrate the understanding of the concept of afterYes/NoYesNoCommentsBegin to understand that numbers can be composed and decomposed to create new numbersYes/NoYesNoCommentsPhysically extend simple ABAB patterns of concrete objects to other concrete objectsYes/NoYesNoCommentsUnderstand sequence of events when clearly explainedYes/NoYesNoCommentsSort, classify, and compare objectsYes/NoYesNoCommentsComplete lined tangram or pattern block puzzles using basic shapesYes/NoYesNoCommentsUse position terms such as in, on, and underYes/NoYesNoCommentsMatch similar shapes when given a variety of three dimensional shapesYes/NoYesNoCommentsStart to identify the attributes of shapesYes/NoYesNoCommentsUses names of two-dimensional shapes (e.g. square, triangle; circle) when identifying objectsYes/NoYesNoCommentsUse informal language to describe three-dimensional shapesYes/NoYesNoCommentsUnderstand time limit cueYes/NoYesNoCommentsUnderstand transition from one activity to the nextYes/NoYesNoCommentsTell what activity comes before and afterYes/NoYesNoCommentsDirectly compare and describe two objects with a measurable attributeYes/NoYesNoCommentsMeasure length and volume (capacity) using non--standard measurement toolsYes/NoYesNoCommentsSocial Emotional SkillsRecognize self as a unique individualYes/NoYesNoCommentsDescribe personal characteristicsYes/NoYesNoCommentsShow sense of self satisfaction with own abilities, preferences, and accomplishmentsYes/NoYesNoCommentsRecognize own emotions and the emotions of othersYes/NoYesNoCommentsLook to adults for emotional support and guidanceYes/NoYesNoCommentsUse a combination of words, phrases, and actions to express feelingsYes/NoYesNoCommentsManage transitions and adapt to changes in schedules, routines, and situations with adult supportYes/NoYesNoCommentsRegulate own emotions and behaviors with others with adult support when neededYes/NoYesNoCommentsRegulate a range of impulses with adult supportYes/NoYesNoCommentsNegotiate to resolve social conflicts with peers with modeling and supportYes/NoYesNoCommentsUse words during a conflict instead of physical forceYes/NoYesNoCommentsRequest and accept guidance from familiar adultsYes/NoYesNoCommentsAccept compromises when suggested by a peer or adultYes/NoYesNoCommentsGauge response based on the facial expressions of othersYes/NoYesNoCommentsExhibit age appropriate friendship skills to engage in effective play and learning experiencesYes/NoYesNoCommentsEngage in associative playYes/NoYesNoCommentsParticipate in cooperative play experiences with some adult guidanceYes/NoYesNoCommentsApproaches to Play and LearningInitiate new task by selfYes/NoYesNoCommentsVerbally express a desire to complete task by selfYes/NoYesNoCommentsWith support, use a variety of resources to explore materials and ideasYes/NoYesNoCommentsExplore and manipulate familiar objects in new and imaginative waysYes/NoYesNoCommentsDemonstrate eagerness to learn about and discuss new topics, idea, and taskYes/NoYesNoCommentsCommunicate a desire to learn new concepts or ideasYes/NoYesNoCommentsExhibit willingness to try new experiencesYes/NoYesNoCommentsUse a variety of learning approaches, such as observing, imitating, asking questions, hands-on investigation, and active explorationYes/NoYesNoCommentsFind a creative or inventive way of doing a familiar task or solving a problem with adult guidanceYes/NoYesNoCommentsBegin to demonstrate flexibility in approach to play and learningYes/NoYesNoCommentsAdjust approach to task to resolve difficulties with adult supportYes/NoYesNoCommentsIndependently attend to a book from beginning to endYes/NoYesNoCommentsDemonstrate ability to delay gratification for short periods of timeYes/NoYesNoCommentsSee an activity through to completionYes/NoYesNoCommentsEngage in associative playYes/NoYesNoCommentsParticipate in cooperative play activities with some adult guidanceYes/NoYesNoCommentsParticipate in play activities with a small group of childrenYes/NoYesNoCommentsScienceUse sense to learn about concepts of weight, motion, and forceYes/NoYesNoCommentsAsk questions about physical properties and changes in the physical worldYes/NoYesNoCommentsIdentify materials that make up objectsYes/NoYesNoCommentsInvestigate and describe observable properties of objectsYes/NoYesNoCommentsMatch objects by physical attributesYes/NoYesNoCommentsNotice the shadows of others and objectsYes/NoYesNoCommentsDescribe different objects in the skyYes/NoYesNoCommentsDescribe various earth materialsYes/NoYesNoCommentsCommunicate awareness of seasonal changesYes/NoYesNoCommentsDescribe weather conditions using correct terminologyYes/NoYesNoCommentsIdentify the correct names for adult and baby animalsYes/NoYesNoCommentsCompare attributes of living organismsYes/NoYesNoCommentsIdentify and describe the function of body partsYes/NoYesNoCommentsIdentify a problem or need and create a plan to solveYes/NoYesNoCommentsUse classroom objects that function as simple machines to enhance playYes/NoYesNoCommentsObserve with a focus on detailsYes/NoYesNoCommentsUse simple tools to extend investigationsYes/NoYesNoCommentsIdentify self and/ or own actions as scientificYes/NoYesNoCommentsSocial StudiesParticipate in and describe own family, community, and cultural celebrations if observedYes/NoYesNoCommentsBegin to assimilate family, community, and cultural events in cooperative playYes/NoYesNoCommentsBegin to gesture and ask simple questions regarding differences and/or similarities between self and othersYes/NoYesNoCommentsUse simple phrases to demonstrate an awareness of differences and/or similarities between self and othersYes/NoYesNoCommentsRecognize the sequence of events as part of a daily routine and as it relates to the passage of timeYes/NoYesNoCommentsIdentify leaders and helpers in the home or classroom environmentYes/NoYesNoCommentsRecognize familiar aspects of community or cultural symbolsYes/NoYesNoCommentsBegin to demonstrate an understanding of rules in the home, school environment and the purpose they serveYes/NoYesNoCommentsIdentify location directionality, and spatial relationshipsYes/NoYesNoCommentsBegin to create simple representations of a familiar physical environmentYes/NoYesNoCommentsIdentify and describe prominent features of the classroom, school, neighborhood, and communityYes/NoYesNoCommentsBegin to learn knowledge of personal and geographic informationYes/NoYesNoCommentsBegin to understand the relationship between humans and the environmentYes/NoYesNoCommentsBegin to understand the purpose of money and concepts of buying and selling through playYes/NoYesNoCommentsDevelop an awareness that people work for money in order to provide for basic needsYes/NoYesNoCommentsDevelop an awareness of the roles of various familiar community helpers/ workersYes/NoYesNoCommentsAct out adult social roles and occupationsYes/NoYesNoCommentsAssist adults with daily routines and responsibilitiesYes/NoYesNoCommentsChoose simple daily tasks from a list of classroom jobsYes/NoYesNoCommentsBegin to initiate helping tasksYes/NoYesNoCommentsDemonstrate an understanding of how voting worksYes/NoYesNoCommentsCreative ArtsListen and respond to musicYes/NoYesNoCommentsParticipate in classroom experiences with musical instruments and singing to express creativityYes/NoYesNoCommentsSing songs that use the voice in a variety of waysYes/NoYesNoCommentsRespond to rhythmic patterns in musicYes/NoYesNoCommentsDescribe feelings and reactions in response to diverse musical genres and stylesYes/NoYesNoCommentsConvey ideas and emotions through creative movement expression (with or without music)Yes/NoYesNoCommentsUse colors, lines, and shapes to communicate meaningYes/NoYesNoCommentsProgress in ability to create drawings, models, and other art using a variety of materialsYes/NoYesNoCommentsDevelop growing ability to plan work independently, and demonstrate care in a variety of artYes/NoYesNoCommentsObserve and discuss art formsYes/NoYesNoCommentsReflect on differences and preferences when encounters artworkYes/NoYesNoCommentsShare ideas about personal creative workYes/NoYesNoCommentsEngage in associative and cooperative playYes/NoYesNoCommentsUse a variety of props to demonstrate themes about life experiences, ideas, and feelingsYes/NoYesNoCommentsParticipate freely in dramatic play experiences that become of increased duration and complexityYes/NoYesNoCommentsPhysical Health and GrowthDemonstrate health and hygiene-related behaviors with remindersYes/NoYesNoCommentsIdentify the difference between sick and wellYes/NoYesNoCommentsEngage in sociodramatic play to demonstrate the roles of medical professionalsYes/NoYesNoCommentsIdentify ways to play safelyYes/NoYesNoCommentsFollow simple safety rules while participating in activitiesYes/NoYesNoCommentsRespond to physical cues when hungry, full or thirstyYes/NoYesNoCommentsDemonstrate basic understanding that eating a variety of foods helps the body grow and be healthyYes/NoYesNoCommentsDistinguish between nutritious and less nutritious foodsYes/NoYesNoCommentsIndependently feeds selfYes/NoYesNoCommentsTake things apart and attempt to put them back togetherYes/NoYesNoCommentsIdentify and describe function of body partsYes/NoYesNoCommentsDemonstrate awareness of own body in relation to other people and objects through play activitiesYes/NoYesNoCommentsParticipate in structured and unstructured active physical play exhibiting strength and staminaYes/NoYesNoCommentsDemonstrate basic understanding that physical activity helps the body grow and be healthyYes/NoYesNoCommentsRefine grasp to manipulate tools and objectsYes/NoYesNoCommentsDemonstrate coordination and balanceYes/NoYesNoCommentsCoordinate movements to perform a taskYes/NoYesNoCommentsDemonstrate continual progression in oral muscle tone, strength, and range of motion, leading to more complex oral movement and controlYes/NoYesNoCommentsAttend to personal body care practices with remindersYes/NoYesNoCommentsIndependently dress and undress selfYes/NoYesNoCommentsIndependently attend to toileting needsYes/NoYesNoCommentsThe 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.Individualized Activity PlanName *FirstLastAgeWeek ofArea(s) of Strengths:Area(s) of Improvement:Activities to help improve:Procedures:IN Standards and Foundations:Comments:Submit