MCSE-7g COMMUNICATIVE STATUS ASSESSMENT Name of Student: _____________________________________ Date of birth: _______________________ Age: _______ Evaluator: ___________________________________________ Title: ___________________________________________ Evaluation methods and activities: Observation(s) Record Review Curriculum-Based Assessment Interview(s) Classroom-Based Assessment Norm-Referenced Assessment Trial Intervention(s) Other Summary of assessment(s), including results and instructional implications: Communication Checklist Written Expression Sequences letters and words properly, makes no reversals Written work is done neatly Expresses ideas well in written work Passes spelling tests Spelling in daily work is acceptable Capitalizes correctly Punctuates correctly Writes a complete sentence Communicates adequately in longer written assignments Writes cohesive paragraphs Vocabulary and grammar comparable to class peers Listening Comprehension Adequate attention span Follows oral directions Understands what is said Remembers spoken information Understand subtleties in word or sentence meaning Shows appropriate sensitivity to noise Discriminates between words and sounds that are similar Able to work at tasks when require listening skills Is attentive; listens in class; responds when called upon by teacher Can pay attention in a distracting setting Can remember a sequence of directions, ideas, or words presented orally Oral Expression Can be understood when speaking Knows how to begin, end, and maintain a conversation Grammar and sentence structure are comparable to class peers Speaks in complete sentences Responses to questions are comparable to class peers Shows no difficulty remembering the right words when speaking Uses appropriate vocabulary Can adequately describe events, people, places or things Tells events, stories, ideas in sequence Makes classroom comments which are relevant to the situation Speaks with appropriate fluency and speed Speaks with appropriate voice quality, intonation and loudness Restates thoughts in alternative form Verbally expresses personal needs Signature of Evaluator: ________________________________________ Yes No At Times Not Observed Date: ____________________________ 1/26/11