Kindergarten Assessment Checklist
Name ______________________
Birth date _______
Baseline ______ 1st MP ______ 2nd MP ______ 3rd MP______
(red)
(blue)
Color Recognition - / indicates recognizes
(green)
(black)
x indicates reads word
red yellow blue green orange black brown purple white
Recognizes Own Name - / indicates recognizes
first name
’06-‘07
last name
Writes Name
base___________________________________________________
1st MP __________________________________________________
2nd MP __________________________________________________
3rd MP __________________________________________________
Letter/Sound/Word Recognition
Upper
Case
Identifies
Letter
B
1st
2nd
3rd
Lower
Case
Identifies
Letter
B
1st
2nd
-/long
Sounds
3rd
u/short
B
1st
2nd
3rd
/
/
/
/
Word
A
a
a
F
f
f
a
K
k
k
an
P
p
p
to
W
w
w
see
Z
z
z
we
B
b
b
is
H
h
h
my
O
o
o
J
j
j
U
u
u
/
/
/
/
can
C
c
c
/
/
/
/
at
Y
y
y
it
L
l
l
me
Q
q
q
and
M
m
m
he
D
d
d
you
N
n
n
here
S
s
s
she
X
x
x
go
I
i
i
/
/
/
/
said
E
e
e
/
/
/
/
like
G
g
g
/
/
/
/
have
R
r
r
for
V
v
v
play
T
t
t
are
/
/
/
/
B
1st
I
in
the
total
total
total
saw
rubric
score
rubric
score
rubric
score
went
1/ <19
2/ 19-25
3/ 26
Identifies
word
Reproduces sound
1/ <12
2/ 12-22
3/ 23-30
4/ 31-33
some
this
Total
Rubric
1/ <10
2/ 10-19
3/ 20
4/ >20
2nd
3rd
Uses Oral Communication Effectively
Skills
base
speaks in complete sentences
shares an idea on a topic
uses appropriate volume
speaks with clarity (i.e. articulation; pronoun usage)
uses an extensive oral vocabulary
totals
Rubric Score
1st MP
/5
2nd MP
/5
/5
3rd MP
/5
1/ 0-2
2/ 3
3/ 4
4/ 5
Demonstrates Concept of Print
Concepts
1st MP
base
2nd MP
3rd MP
letter
word
sentences
where start reading
left to right
return sweep
voice/print match
front cover
back cover
title
totals
Rubric Score
___/10
___ author ___ illustrator
___/10
___ title page
Rhyme - Produces with prompt
Rhyme
bat
cake
hop
sun
totals
___/10
___/10
1/ < 5
2/ 5-9
3/ 10
4/ >10
___ dedication page
base
1st MP
2nd MP
3rd MP
___/4
___/4
___/4
___/4
Phonological Awareness – DIBELS Phoneme Segmentation Fluency Score
1st MP
2nd MP
1 - <10 PSF and/or understands concept of word
2 – 10-34 PSF and/or understands concept of word, concept of
syllable and identifies initial sounds.
3 – 35 PSF and/or understands concepts above and segments
sounds in words
4 -- >35 PSF and/or understands concepts above and blends
sounds
3rd MP
PSF Score
Alternate tool score
Rubric Score
Oral Comprehension/Story Retell
Say to the student(s): “I will read a story. When I am finished I will ask you questions about the story. So, be a
good listener!” After reading the story, ask:
Base
1st MP
2nd MP
3rd MP
Book Title
Who are the main characters?
What is the setting? Where did the story happen?
1/answers 1-2 questions
2/ answers 3 questions
3/ answers 4-5 questions
4/ answers all 6 questions
How does the story begin?
What happened next? Next?
How does the story end?
Why …?
Total
Rubric Score
/6
/6
/6
/6
Identifies Shapes -/ indicates recognition
1st MP
Base
Total
/7
3rd MP
2nd MP
/7
1/ <3
2/ 3
3/ 4-6
4/ 7
/7
/7
Rubric Score
Recognizes and Names Numerals -/ indicates recognition
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
1st MP
Base
Total
/ 21
2nd MP
/ 21
3rd MP
/ 21
/ 21
3rd MP
1/ <10
2/ 10-19
3/ 20
4/ >20
Rubric Score
__ more than 20
1/ <10
2/ 10-20
3/ 21
4/ >21
Counts Objects
1st MP
base
Total
1-
1-
2nd MP
1-
1-
Rubric Score
Understands Patterns
Base
Sorts Objects by Attributes
st
1 MP
2
nd
MP
3
rd
MP
Base
unable to recognize
cannot sort
recognizes & extends
1 attribute
creates & names AB
2 attributes
creates & names involved
3 attributes
Rubric Score
1st MP
2nd MP
3rd MP
Rubric Score
1/ unable to recognize pattern
2/ recognizes and extends a pattern
3/ creates and names an AB pattern
4/ creates and names a more involved pattern
1/ unable to sort
2/ sorts by 1 given attribute
3/ sorts by 2 given attributes
4/ sorts by >2 given attributes
Organizes Data/Interprets Graphs
base
1stMP
2ndMP
Unable to organize
More/most
Understands Concept of Number
3rdMP
2nd MP
Number
Rubric score
Less/least
Same/equal
numerical comparison
Rubric Score
1/ unable to organize
2/ organizes correctly
3/ organizes and interprets using terms
4/ interprets using numerical comparison
3rd MP
1/ combo of <3
2/ combo of 3 or 4
3/ combo of 5
4/ combo of 6 -10