Key:
Usually -- (Complete Skill Acquisition)
Sometimes -- (Partial Skill Acquisition)
Seldom -- (Non-existent Emerging Skill)
| Usually | Sometimes | Seldom | Social Skills |
|---|---|---|---|
| X | Look forward to school and other new activities and information. | ||
| X | Can get information from TV and other orally presented materials. | ||
| X | Like table games, puzzles, paper-pencil, school-type activities. | ||
| X | Have learned the appropriate use and care of toys, books, etc. | ||
| X | Keep hands and feet to self, respect others' property. | ||
| X | Carry out responsibilities, help cleanup, conform to rules. | ||
| X | Can apologize and be courteous. | ||
| X | Have non-agressive conflict resolution strategies. | ||
| X | Share with others willingly.. | ||
| X | Finish work in a resonable amount of time. | ||
| X | Have pride in accomplishments. | ||
| X | Play cooperatively in come competetive games. | ||
| X | Play imaginatively and dramatically (dress-up, role play). |
| Comments: A summer program would be helpful (ex. Day Camp -- something recreational but sturctured). |

| Usually | Sometimes | Seldom | Speech and Language |
|---|---|---|---|
| X | Speak readily with adults and peers. | ||
| X | Use most sounds correctly. | ||
| X | Use 5-8 word sentences with correct word order. | ||
| X | Use pronouns, irregular verbs; use can't, won't don't; use articles and prepositions. | ||
| X | Ask meanings of words. | ||
| X | Use language to joke and tease. | ||
| X | Answer phone and carry on a conversation. | ||
| X | Seek attention, help, and recognition appropriately. | ||
| X | Use quiet voice indoors. | ||
| X | Finish work in a resonable amount of time. | ||
| X | Listen when others speak. | ||
| X | Volunteer during discussions. |
| Comments: |

| Usually | Sometimes | Seldom | Motor and Self-help |
|---|---|---|---|
| X | Demonstrate coordinated large muscle movements -- 1 foot hopping, skipping, jumping, ball skills, wheel toys, etc. | ||
| X | Is comfortable on playground equipment. | ||
| X | Spread with a knife. | ||
| X | Manipulate iteem held in hand with fingers. | ||
| X | Have established hand dominance. | ||
| X | Use a mature grasp on writing tools. | ||
| X | Draw simple figures. | ||
| X | Draw a 6-7 part person. | ||
| X | Copy and name a few letters. | ||
| X | Copy a circle, triangle, square, and cross. | ||
| X | Have simple cutting, coloring and pasting skills. | ||
| X | Put on and take off coat and boots. | ||
| X | Handle fasteners for clothes, learning to tie shoe. | ||
| X | Use bathroom properly and obey rules of sanitation. | ||
| X | Keep things out of mouth. | ||
| X | Take care of own belongings. |
| Comments: |

| Usually | Sometimes | Seldom | Readiness |
|---|---|---|---|
| X | Recognize and name 8 basic colors. | ||
| X | Touch and cound or make sets to 5. | ||
| X | Follow directions to simple activities after being instructed once. | ||
| X | Match letters of alphabet, name some of them.. | ||
| X | See likenesses, differences, absurdities and missing parts. | ||
| X | Recognize numerals to 5; rote cont past 20. | ||
| X | Understand concepts of size and weight: big, long, tall, more, full etc.. | ||
| X | Understand concepts of time and location: under, far, top low, etc.. | ||
| X | Identifies body parts: chin, heel, elbow, ankle. | ||
| X | Replicate simple patterns and sequences. | ||
| X | Sequence daily activities. | ||
| X | Work independently. | ||
| X | Interpret or read pictures.. | ||
| X | Participate in songs, games rhythmic activities. | ||
| X | Give address, phone number, parent name, and age. |
| Comments: |

