CHILD SKILLS CHECKLIST.docx

1. SCHOOLING CHILD SKILLS CHECKLIST 1ST GRADING PERIOD School Year: _______________ LRN: Exceptionality: Name: Teacher: DIRECTIONS: Put A for items you see child perform regularly: Put N for items where there is no opportunity to observe. Put + for items where child has progressed to advanced level. Leave all other items blank. 1st Quarter 2nd Quarter 1. Self-Identify Separates from parents without difficulty ___________ ____________ Does not cling to adults excessively ___________ ____________ Makes eye contact with adults ___________ ____________ Makes activity choices without teacher’s help ___________ ____________ Seeks other children to play with ___________ ____________ Plays roles confidently in dramatic play ___________ ____________ Stands up for own rights ___________ ____________ Display enthusiasm in regard to doing things for self ___________ ____________ 2. Emotional Development Allows self to be comforted during stressful time ___________ ____________ Eats, sleeps, toilets without fuss away from home ___________ ____________ Handles sudden changed / starting situations with control___________ ____________ Can express anger in words rather than actions ___________ ____________ Allows aggressive behavior to be redirected ___________ ____________ Does not withdraw from others excessively ___________ ____________ Shows interest / attention in classroom activities ___________ ____________ Smiles, seems happy much of the time ___________ ____________ 3. Social Play Plays by self with or without objects ___________ ____________ Plays by self- constructing or creating something ___________ ____________ Plays by self in pretending – type activity ___________ ____________ Plays parallel to others with or without objects ___________ ____________ Plays parallel to others constructing or creating something___________ ____________ Plays with a group with or without objects ___________ ____________ Plays with a group contracting or creating something ___________ ____________ Plays with the group in pretending – type activity ___________ ____________ 4. Pro-social Behavior Shows concern for someone in distress ___________ ____________ Shows delight for someone experiencing pleasure ___________ ____________ Share something with another ___________ ____________ Gives something of his/her own to another ___________ ____________ Takes turn with toys or activities ___________ ____________ Waits for turn without a fuss ___________ ____________

2. 5. Large Motor Development Walks down steps alternating feet ___________ ____________ Run with control over speed and direction ___________ ____________ Jumps over obstacle, landing on two feet ___________ ____________ Hops forward on one foot ___________ ____________ Pedals and steers tricycle ___________ ____________ Climbs up and down climbing equipment with case ___________ ____________ Throws object overhand to target ___________ ____________ Catches thrown object with hands ___________ ____________ 6. Small Motor Development Shows hand preference ( which is:_______) ___________ ____________ Turns hand easily ( Knobs, lids, eggbeaters ) ___________ ____________ Four liquid into glass without spilling ___________ ____________ Unfastens and fastens zippers, buttons, Velero tabs ___________ ____________ Picks up and inserts objections with case ___________ ____________ Uses drawing / writing tools with control ___________ ____________ Pounds in nails with control ___________ ____________ 7. Cognitive Development: Classification and Serration Recognizes basic geometric shapes ___________ ____________ Recognizes colors ___________ ____________ Sort objects by appearance ___________ ____________ Discriminates thin that are alike from those that are different_______ ____________ Puts parts together to make a whole ___________ ____________ Arranges events in sequence from first to last ___________ ____________ Arranges objects in series according to a certain rule ___________ ____________ 8. Cognitive Development: Number, time space, memory Counts by rote to ten ___________ ____________ Counts objects to ten ___________ ____________ Knows the daily schedule in sequence ___________ ____________ Knows what happened yesterday ___________ ____________ Can build a block endorse ___________ ____________ Can locate an object behind or beside somethin ___________ ____________ Recalls words to song, chant ___________ ____________ Can recollect and act on a series of directions ___________ ____________ 9. Spoken Language Speaks confidently in the classroom ___________ ____________ Speaks clearly enough for adults to understand ___________ ____________ Speaks in expanded sentences ___________ ____________ Takes part in conversations with other children ___________ ____________ Asks questions with proper word order ___________ ____________ Makes negative responses with proper word order ___________ ____________ Uses past tense verbs correctly ___________ ____________ Plays with rhyming words ___________ ____________ 10. Written Language Pretends to write by making scribbles in horizontal lines ___________ ____________

3. Includes features of real letters in scribbling ___________ ____________ Identifies own written name ___________ ____________ Knows some alphabet letters ___________ ____________ Makes real letters ___________ ____________ Prints letters of name ___________ ____________ Prints name correctly in linear manner ___________ ____________ 11. Arts Skills Makes random marks or covers paper with color ___________ ____________ Scribbles on paper ___________ ____________ Forms basic shapes ___________ ____________ Makes mandalas ___________ ____________ Makes suns ___________ ____________ Draws human as circle with arms and legs attached ___________ ____________ Draws animals, trees ___________ ____________ Makes, pictorial drawings ___________ ____________ 12. Imagination Pretends by replaying familiar routines ___________ ____________ Needs particular props to do pretend play ___________ ____________ Assigns roles or takes assigned roles ___________ ____________ May switch roles without warning ___________ ____________ Uses language for creating and sustaining plot ___________ ____________ Uses exciting, danger packed themes ___________ ____________ Takes on characteristics and actions related to role ___________ ____________ Uses elaborate and creative theme, ideas details ___________ ____________ Prepared by: ___________________ ___________________________________

4. PRESCHOOL CHILD SKILLS CHECKLIST SY: ____________________ 1ST GRADING PERIOD LRN: Exceptionality: Name: Teacher: I. SELF - HELP SKILLS Yes No Using Utensils 1. does not use utensils for eating 2. uses spoon 3. uses fork 4. uses knife, fork, and spoon Eating Habits 1. is not able to handle foods alone 2. is untidy in handling food 3. is tidy under supervision 4. usually eats in acceptable manner 5. eats acceptably in all situations Dressing 1. cannot manage any clothing 2. can manage most clothing except zipping and buttoning 3. dresses self except for typing shoes 4. dresses self completely Washing Face and Hands 1. con not wash face and hands 2. can was face and hands with assistance 3. can wash face and hands without assistance Toilet Training 1. does not make needs known 2. expresses needs but has occasional accidents 3. expresses needs – a avoids accidents 4. uses toilet without assistance Avoids Dangers 1. does not recognize common dangers 2. recognizes dangers, but must be watched 3. avoids dangers II. COMMUNICATIONS SKILLS Nature of Communication 1. communicates by gesture only 2. communicates by sound and gesture 3. uses single words or short phrases 4. uses complete sentences Intelligibility of Speech 1. no understandable speech 2. speech understood only when combed with gesture

5. 3. speech understood by immediate family 4. speech understood by listener in known situation 5. speech understood by almost everyone Name 1. does not respond to name 2. sometimes responds to name 3. frequently responds to name 4. can give first ______ first and last name ______ full name ___ 5. can identify name when sees written 6. can write first name ______ first and last name ________ Stories, Records, Television 1. does not listen to stories 2. listens, but loses interest before end 3. listens and answers simple questions about 4. can retell or explain story Response to Verbal Directions 1. does not respond to verbal directions 2. responds to short directions 3. responds to series of directions 4. responds to directions after a time lapse Experiences 1. does not relate own experiences 2. indicates that experience look place 3. tells highlights 4. relates experience with detail III. PHYSICAL DEVELOPMENT SKILLS Walking 1. is not ambulatory 2. is ambulatory with braces ____ crutches_____ or wheel chair 3. walks, but is clumsy 4. walks, well coordinated 5. walks and runs 6. climbs Grasp 1. cannot grasp objects 2. grasp objects clumsily 3. can grasp large objects 4. can grasp small objects (pencils, crayon) Catching 1. cannot catch ball 2. traps ball against chest with two hands 3. catches ball with both hands 4. catches ball with one hand Scissors 1. cannot cut with scissors 2. can cut with scissors with scissors 3. cuts a straight line with scissors 4. cuts design with scissors Drawing 1. cannot race straight line or circle 2. copies straight line and circle 3. draws straight line or circle 4. copies square 5. copies square___ triangle ____ unaided 6. copies triangle

6. 7. colors within lines IV. Pre-academic Skills Age 1. does not known 2. shows with fingers 3. tells Home Address 1. does not know 2. tells house number, street, town, state 3. tells telephone number Body Parts 1. head shows name 2. eyes shows name 3. ears shows name 4. nose shows name Writing 1. scribbles________ 2. copies recognizable straight line____ circle _____ square triangle ________ other forms; _________ 3. draws recognizable straight line____ circle _____ square triangle ________ other forms; _________ 4. can trace_____ copy _____ write spontaneously _____ letter of alphabet 5. can trace ____ copy _____ write spontaneously ____ words 6. can write letters _____ words ______ when dictated Numbers 1. does not say numbers 2. can count to: ____ 5 ____ to ____ 20 _____ other _______ 3. can recognize numbers in sequence _______ 4. can recognize numbers presented randomly ________ 5. attaches quantity to numbers ________ 6. has the concept of more ________ 7. can sequence objects by size _______ 8. can identify objects which are first ____ last ____ in the middle _____ next to last _____ in a series ______ V. Behavior Please check the following behaviors as to whether they occur frequently, or seldom Pre-Evaluation Post-Evaluation frequently infrequently seldom frequently infrequently seldom 1. refusal to do as asked 2. unresponsive 3. short attention span 4. easily upset 5. cannot wait or take turns 6. demands immediate rewards or help 7. leaves group or class 8. does not work alone 9. does not work with group 10. easily confused 11. displays immature behavior 12. forgetful 13. shows signs of anxiety (crying) 14. easily distracted

7. 15. difficulty changing activities 16. easily tired 17. overly active Prepared by: __________________________ Schools Division of Paranaque City ___________________________________

8. PRESCHOOL CHILD SKILLS CHECKLIST SY: ____________________ 2nd GRADING PERIOD LRN: Exceptionality: Name: Teacher: I. SELF - HELP SKILLS Yes No Using Utensils 1. does not use utensils for eating 2. uses spoon 3. uses fork 4. uses knife, fork, and spoon Eating Habits 1. is not able to handle foods alone 2. is untidy in handling food 3. is tidy under supervision 4. usually eats in acceptable manner 5. eats acceptably in all situations Dressing 1. cannot manage any clothing 2. can manage most clothing except zipping and buttoning 3. dresses self except for typing shoes 4. dresses self completely Washing Face and Hands 1. con not wash face and hands 2. can was face and hands with assistance 3. can wash face and hands without assistance Toilet Training 1. does not make needs known 2. expresses needs but has occasional accidents 3. expresses needs – a avoids accidents 4. uses toilet without assistance Avoids Dangers 1. does not recognize common dangers 2. recognizes dangers, but must be watched 3. avoids dangers II. COMMUNICATIONS SKILLS Nature of Communication 1. communicates by gesture only 2. communicates by sound and gesture 3. uses single words or short phrases 4. uses complete sentences Intelligibility of Speech 1. no understandable speech 2. speech understood only when combed with gesture 3. speech understood by immediate family

9. 4. speech understood by listener in known situation 5. speech understood by almost everyone Name 1. does not respond to name 2. sometimes responds to name 3. frequently responds to name 4. can give first ______ first and last name ______ full name ___ 5. can identify name when sees written 6. can write first name ______ first and last name ________ Stories, Records, Television 1. does not listen to stories 2. listens, but loses interest before end 3. listens and answers simple questions about 4. can retell or explain story Response to Verbal Directions 1. does not respond to verbal directions 2. responds to short directions 3. responds to series of directions 4. responds to directions after a time lapse Experiences 1. does not relate own experiences 2. indicates that experience look place 3. tells highlights 4. relates experience with detail III. PHYSICAL DEVELOPMENT SKILLS Walking 1. is not ambulatory 2. is ambulatory with braces ____ crutches_____ or wheel chair 3. walks, but is clumsy 4. walks, well coordinated 5. walks and runs 6. climbs Grasp 1. cannot grasp objects 2. grasp objects clumsily 3. can grasp large objects 4. can grasp small objects (pencils, crayon) Catching 1. cannot catch ball 2. traps ball against chest with two hands 3. catches ball with both hands 4. catches ball with one hand Scissors 1. cannot cut with scissors 2. can cut with scissors with scissors 3. cuts a straight line with scissors 4. cuts design with scissors Drawing 1. cannot race straight line or circle 2. copies straight line and circle 3. draws straight line or circle 4. copies square 5. copies square___ triangle ____ unaided 6. copies triangle 7. colors within lines

10. IV. Pre-academic Skills Age 1. does not known 2. shows with fingers 3. tells Home Address 1. does not know 2. tells house number, street, town, state 3. tells telephone number Body Parts 1. head shows name 2. eyes shows name 3. ears shows name 4. nose shows name Writing 1. scribbles________ 2. copies recognizable straight line____ circle _____ square triangle ________ other forms; _________ 3. draws recognizable straight line____ circle _____ square triangle ________ other forms; _________ 4. can trace_____ copy _____ write spontaneously _____ letter of alphabet 5. can trace ____ copy _____ write spontaneously ____ words 6. can write letters _____ words ______ when dictated Numbers 1. does not say numbers 2. can count to: ____ 5 ____ to ____ 20 _____ other _______ 3. can recognize numbers in sequence _______ 4. can recognize numbers presented randomly ________ 5. attaches quantity to numbers ________ 6. has the concept of more ________ 7. can sequence objects by size _______ 8. can identify objects which are first ____ last ____ in the middle _____ next to last _____ in a series ______ V. Behavior Please check the following behaviors as to whether they occur frequently, or seldom Pre-Evaluation Post-Evaluation frequently infrequently seldom frequently infrequently seldom 1. refusal to do as asked 2. unresponsive 3. short attention span 4. easily upset 5. cannot wait or take turns 6. demands immediate rewards or help 7. leaves group or class 8. does not work alone 9. does not work with group 10. easily confused 11. displays immature behavior 12. forgetful 13. shows signs of anxiety (crying) 14. easily distracted 15. difficulty changing activities

11. 16. easily tired 17. overly active Prepared by: __________________________ SCHOOLING CHILD SKILLS CHECKLIST SY:_________ 2nd Grading Period I. Scholastic Information Check problem areas. A. READING Present level: ___________________________

12. Book: __________________________________ Publisher: ______________________________ Listening Comprehension and Speech Pre-evaluation Post Evaluation comprehension of orally presented material ___________ ____________ expressive language ___________ ____________ speech (intelligibility) ___________ ____________ other: ___________ ____________ Visual Perception matching letters ___________ ____________ copying letters ___________ ____________ identifying letters ___________ ____________ Phonic Abilities sounds of consonants ___________ ____________ sounds of vowels ___________ ____________ sounding out words ___________ ____________ other: ___________ ____________ Word Analysis Abilities using phonic skills ___________ ____________ using structural analysis (syllables, root words, etc.) ___________ ____________ using context clues ___________ ____________ sight vocabulary ___________ ____________ Reading Comprehension gets main idea ___________ ____________ singles out details ___________ ____________ sequence events ___________ ____________ draws inferences ___________ ____________ follows written directions ___________ ____________ recall of materials ___________ ____________ other: ___________ ____________ Does Child Have Difficulty With: listening comprehension / speech ___________ ____________ visual perception of word elements ___________ ____________ phonics ___________ ____________ word analysis ___________ ____________ reading comprehension ___________ ____________ spelling ___________ ____________ Note any significant reading behaviors (shows, reveals, loses place easily, etc.) Spelling and Structure ___________ ____________ letter sound relationships (phonics) ___________ ____________ irregular words (non-phonetics) ___________ ____________ oral spelling ___________ ____________ written spelling ___________ ____________ other ___________ ____________ B. ARITHMETIC Present level: __________________________________ Book: ________________________________________ Publisher: _____________________________________

13. Numbers Concepts meaning of bigger (more), smaller (less), same as (numbers vocabulary) ___________ ____________ number recognition ___________ ____________ counting orally ___________ ____________ counting objects ___________ ____________ sequencing alternate numbers (by 2’s, 5’s, 100, etc) ___________ ____________ meaning of +, -, & = signs ___________ ____________ Computation meaning of place values (ones, tens, hundreds, etc.) ___________ ____________ simple addition facts ___________ ____________ simple subtraction facts ___________ ____________ regrouping (borrowing and carrying) ___________ ____________ multiplication tables ___________ ____________ division tables ___________ ____________ telling time ___________ ____________ fractions ___________ ____________ decimals ___________ ____________ word problems ___________ ____________ money values ___________ ____________ other: _________________________________ ___________ ____________ II. Behavior Please check the behavior the child exhibits during the school day as to whether the behavior is a frequent problem, an infrequent problem, or no problem at all. Any specific descriptions or examples will be appreciated. Pre-evaluation Post-evaluation Frequent Infrequent No Frequent Infrequent No Problem Problem Problem Problem Problem Problem 1. refusal to do asked 2. short attention span 3. tack of tolerance for tasks not enjoyed 4. cannot wait or take turns 5. leaves group or class (walks out, sick) 6. does work with group 7. over conforms to rule 8. seeks attention excessively 9. cannot work alone 10. easily confused or disoriented 11. forgetful, needs constant 12. overly sensitive to criticism 13. shows signs of anxiety (crying, nail biting) 14. puts blame for behavior on external causes 15. will not speak up 16. shows off (clowning, bragging, teasing, etc.) 17. speaks inappropriately (threatens, cusses, etc.)

14. 18. antisocial tendencies (steals, lies, fights, etc.) 19. hurries through work 20. works too slowly 21. easily distracted from work 22. difficulty changing activities 23. tires easily 24. overly active (not sit down, etc. 25. relationships with other children 26. relationships with adults 27. other When do behavior problems occur most frequently? Pre-evaluation Post-evaluation morning afternoon after a class change in a large group in a small group with peers mid day before a class change (to playground, lunch, class, etc. before a specific subject (Please list subject:_______________________________ ____ with teachers What remedial and / or behavioral techniques have been attempted with the child (Please be as specific as possible) Prepared by: ________________________ From the Clinical Center for the study of Development and Learning, the University of North Carolina at Chapel Hill, Reprinted by permission. Adapted with permission from the Pre-Academic School Checklist, Clinical at Center for the Study of Development and Learning, the University of Carolina at Chapel.

CHILD SKILLS CHECKLIST.docx

CHILD SKILLS CHECKLIST.docx

CHILD SKILLS CHECKLIST.docx

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CHILD SKILLS CHECKLIST.docx