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cED 144 277DOCUNENT iESOMETITLECasis Teacher Checklist 04 YearsINSTI cED 144 277DOCUNENT iESOMETITLECasis Teacher Checklist 04 YearsINSTI

cED 144 277DOCUNENT iESOMETITLECasis Teacher Checklist 04 YearsINSTI - PDF document

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cED 144 277DOCUNENT iESOMETITLECasis Teacher Checklist 04 YearsINSTI - PPT Presentation

AU S DEPARTMOF HEALTHEDUCATION aLFARENATIONAL INSTIT TE OFEDUCATIONTHIS DOCUMENT HASSEEN REPRODUCED EXACTLY AS RECEIVEDFROMTHE PERSON OR ORGANIZATIONOR IGINATING IT POINTS OF VIEW OROPINIONSSTATED 00 ID: 890188

yrs child teacher mos child yrs mos teacher skills checklist show give item emerq toy correct itemno paper objects

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1 ,c_ED 144 277-DOCUNENT iESOME,,TITLECasi
,c_ED 144 277-DOCUNENT iESOME,,TITLECasis Teacher Checklist: 0-4 Years.INSTITUTION/Austin Independent ..chool District, Tex.'y._SPONS: AGENCYOf fi ceco.of Education' (DREW), Washington, D. C.PUB DATE,.76.NOTE110p.; For .rellted information, see EC 102 210 - PC102 221EC, 102 213EDRS PRICE.MF7$0.83 HC-46.01PlusPostage.,DESCRIPTORSBasic Skillsr *Behavior Rating Scales; *Check Lists;.*EArly Childhood Education; *Handicapped Children;.Infancy; Interpersonal Competence; Languagekills;.f..%.Not6r Development ;Perceptual. Development; PEdueatiop; Self Care Skills41*Student EvaluationIDENTIFIERS*Austin Early Childhood Special Education ProgramABSTRACT..Presented is a checklist developed by the AustinE

2 arly Childhood Special Education program
arly Childhood Special Education program to helpteachers determinethe- functioning level- of children ages 0-4 and ,plan appropriatelearning experiences. Two- unfired and -thiee Behavioral Statementsare provided for six areast.of fun"ctioning: perceptual skills', motor,,skillself help skill's, social and emotional skills, languageskills, and pre-academic skills. Each' section is preceeded by a listof materials needed and adminiitration instructions. k profile sheetfor graphing the child's development is included. (CL)a.-*******e*****i**********************,*********************4***********',Docdments acquired by ERIC include many informal unpublished-4.* materials not available from other sou

3 rces. ERIC makes every. effort **. to\ o
rces. ERIC makes every. effort **. to\ obtain the best copy available. Nevertheless, items of marginal*,* reproducibility are, often encountered and this affects, the guality*'of the microfiche ' and hardcopy reproductigns -ERIC makes available** via the ERIC:-Documentl Reprpdutlon ServiceMRS).EDRS' is not* respongible for the (rality,. of the original document. Reproductions ** supplied by Elm are the best that can ,be Wad4 from thb' original.*-***********************************************************************.k464 AU S DEPARTMOF HEALTH.EDUCATION a,LFARENATIONAL INSTIT TE OFEDUCATION.THIS DOCUMENT HASSEEN REPRODUCED EXACTLY AS RECEIVEDFROMTHE PERSON OR ORGANIZATIONOR IGINATING IT POINTS

4 OF VIEW OROPINIONSSTATED 00 NOT NECESSA
OF VIEW OROPINIONSSTATED 00 NOT NECESSARILYREPRE'SENT C*FICIAL NATIONAL IN&TiTUTEOFEDUCATION POSITION OR POLICYThe Auitin Early Childhood-Special Education Programc..1rs TEACHER CHECKLIST0-4 YEARSOutreach ProjectAudtin Eaily Childhood Special EducationAustin Independent School. DistrictFall, 197QProject Super'VisorMillie.Stokes,2710 Exposition Blvd,Austin, Texas 78703'PERMISSION TO REPFIOQUCE THISMATERIAL HAS BEEN GRANTED BYMillie StokesTO THE EDUCATIONAL RESOURCESINFORMATION CENTER (ERIC) ANDTHE ERIC SYSTEM CONTRACTORS"26t.;OIwS.40. Table of ContentsGeneral Instructions2CaAs Teacher Checklist4PepCeptual Skill§.......Mdtor Skills10SNEf-Help.Skills21Socil and .Emotional 4ki116d.30eLanguage Sk

5 ills40Pre-Adademid-.Skills. --;--4Profil
ills40Pre-Adademid-.Skills. --;--4Profile Sheet.-3p.42- o/4CASIS.TEACHER CHECKLIST*-4 ScaleDeveloped by the Early Childhood SpecialLyma9. Hunter, Educationa DiagnosticianPat Korf, Occupational TherapistKitty Malone, TeacherMarkley,arkley, Speech Therapist_7Peter L. Jennings, PlanningEducation,.Assessment CommitteeLinda McDOnafa, TeacheJanet Ohlenbusch, Associate PsychologistLinda Perrin, Teacher.Jamie Tucker, Teachertand Evaluation Cons4tant.Austin Early Childhood Special'Education Program-,Jaasis Eremeritarydrool.,Austin Independent:Schobl District9,1974a OvervieWessC#.The casis "reacher Checi?Iiit,been -cirgallizd'into six sections; preibacademc,.1'General InstructionsCTC,hasperceptual,: mo

6 tor, self-help, social-emotional,,0and.l
tor, self-help, social-emotional,,0and.langUageskills.This checklist is pciarilyaesianed-Thto assistteacher in .deermintr6 a...i**child's'leveI of functioning and to help her inz ..---,..I',4"il;TIgzFRPD.Priate learning activities for,-that child,o-,,estMaterial'd.-;,'The CTC Cons'ipts of two checklistS, a.0-4.-s.scale and, a:. 4-.77;ipale, including instructionsfpeadMiniste'rinv- each of the scales.Materials'.,*'equiliMen-t, needed.for many-A0of the items on_.each.le formally found inscae anun a.,,,...--.--,-._1,:e5ome,items'rdlquire'teaaher-tadem.aterars Which.......-..,-,,.,a ''''' ,A1104.1.be prep,retrby. the,teacher' before testing_._.___N..,IN;6. -,1Iobegins.Each item whiCh r. quires.te

7 acher7made equipment Irid.materials_will
acher7made equipment Irid.materials_will be marked with an aAerisk"in theIinstructions.' A list-of materialsneeded for each.section is included at.the beginning of that sedtionTime RequirementsP\It is eXpected that the entirecheckli'St.can be administered in less-than 2 hours tittle.Aft is not'neceirary,*tor--aadess a"child.coMpletelyin oneday,.hOweVekanlesection 14-gun on a*givenA-day should be completed that day.At. ,....,s.--('..Rules of Administration,Assessors: -1IOnly teachers should.____ik.Starting:The teacher,shouldchobse the instru-administer the CTC.The teacher who beginsment (either 0-4 or4=7)She' feels is mostappropriate for th0 child she is assessing.If...there is doubt about whe

8 thera child is functioninglaclassroom, s
thera child is functioninglaclassroom, should as'se'ss every child..,e1..\..'between 4 a4d 7 years, theteacher.should begin withObservation:. Items requiring teacherthe a-4 scieti',.sobse.rvation should be scoredas .represent-.AA.(LUneven Functioning:if th6..child functions betweeningthe child's typical production.orper-I.i4...-,,4 and 7 years in someareas but not In others, take.formance,not an extreme performance,those sectipnS from th'e 0-4scale that are appropri-..Recoardinq Responses:1)Criteria forA1/.ate and*subititute them.fOr thecomparable4--i_scalescoringIIyes.4will be given in the instruction.SI'sections:\ SimilarY if the childfunction§below 4,manual:2)Score4emeiging leh never the_.

9 'years-in most areas tutnot in others ta
'years-in most areas tutnot in others take thosechild gives a response Which Qartlymeets-sections from the '4-that are appropriate, andthe criteria.3)-INOte chara teri:§-tics of-% 44-add them to the comparable 0-4scale sections..-"emer,gingyes64responses in:the- comments4.\fStopping:- The'feacher shouldistop11 a section whenn'.sectio.,....a particularsection should complete thatsection herself, ,however, both teaehersinthe child receivesa"tio"on fiveconsecutive itemsin that section.A 0-4 Scal6cp,sis TEACHER CHECKLISTa5.,..NameSdctions,OAte of .Coinpletion(last),. (`first),PrePostSex,tarthdateAddressM-05PerceptualMdtorSelf.-Help0a-TelephoneSocial EmotionalSchool'Examineg('s)/.s05,11*-4-Languag

10 e,Pre-Academics.4-1 ,ItemNo.'OsPesceptua
e,Pre-Academics.4-1 ,ItemNo.'OsPesceptual Skills Materials LiSt (0=4)twoeach: spoons, blocks,1single=piecepuzzle (four non-interloqing.4pieces),.11,5..plastic shapes sorter....a......6.three' cube blocks; design card for, cube blocks/.paper; pencil*c8,paper; pencil; cardhoWing "0":.97...flannel shapes (all same Cblor) 2 each:triangle, circ1,--,square,star, heart11.toy cup, 1". cubeldock,-scissors").`four..--piecE puzzle (interlocking)13.' Montessciri cylinders (same heights---:p'-dif4erent circumferences)*14. -gditti sheet showing a,"t";paper; pencil.2- ItemNo.Instructions-PERCEPTUAL SKILLS-(This section should be doneat a table)1.. 'informally assess (with both task and°people)..2.The teache

11 r hassets of objects (2spoons, .2 block'
r hassets of objects (2spoons, .2 block's, and 2- balls)-.- 'Sheplaces one'. set in. front of child and 'ohe get in her lap.She holds up onetke objects and asks-child toliri.nd one likeYes -.74.of 343,- Child copies 1,2 and, 3 table taps.'dpne by teachor using a steady rhythmsa.it"1 secOhd intervals.Childf.shOUldnot see *teacher do her taps. ,' Use. aposter board as a screen.YeSa= 3 of0 -44.Arlov 5. minute maximum.IUse shape sorter,' Allow'6.AlioW 3 minutes maximum.4OrIt*.1,8.The teacher gives the child a place of4paper and a large pencil.Then,- sheshowsthe child a card with, a circle on it .60asks the chi ld to make one like it.Attach''the child's ,W9%rk..9.. The teacher has a set of 2 trian

12 gles,circles, squares, stars4 and hearts
gles,circles, squares, stars4 and hearts ofthe same' color flannel.Qne set is onthe .table in front Of the 'child.The otherset ion a, felt board., The. teaoherpoinrto one of the shapeS% and asks'the.child to find one like it.Yes = 5 of 510..Practice withThen do ,5-2-4 foractual Check. -(1 secohd intervals)minute maximum..7.The teacher gives the child a,piece ofs,.-`paper and-a. la'rge pencil.' The teachei=-draWs at vertical line on hepage, end.12,asks the chill to make :one. likQit.Repeat for a horizontal 'line.Attach,the child' s' work.-.-1:,,''4t,.1311;. The teacher will present the following ---in the sequehCe 9f:cup, l'lcube,scissor sLet the child° look at them for 5 seconds..RemOVe them'

13 and then ask the chig.d to.reproduce-the
and then ask the chig.d to.reproduce-the sequence':-'Yes,= 1 out of 2 ItemCASIg TEACHER CHECKLIST{0-4):PERCEPTUkt.SlatiLSA'1.Mikeseye contact(9 mOsivSor-:Matches idpnticgl objects (18Mos),4,ates-table taps,(3 yrs);4:Is able to doa single 'piece puzzle(four piece form b;'`ard) .(3 yrs)FallSpringlb' Yes- No Emerq. Yez--N2 Emerq.I5..Is able to placel_astid pr wooden,shapes)into designated slot. (3 yrg)6.Builds a lock.design of 3 blockson card that teacher giVes him A3 yrs).7Imitatesland(3 yrs),.....FlCopies 0 (3 yrs)w.9.Matches fgrms'(4 Ih's610.Rt4teat9 a series of,3 random digitscorrectly(4 yrs)�11Reproduces sequence of 3-objectsseen....,,,cI,for 5 seconds (4 yrs),.si,*.,...12.Rats-toget

14 her ajdurzpiece puzzle(4 yrs)%.....15e..
her ajdurzpiece puzzle(4 yrs)%.....15e....-7-Commentsc'r^40a16 f`Itemt.r.Instructions,No.PERCEPTUAL SKILLS/13.*14.The teacher gives the'child a pieceof paper and a pericil.She showshim the'ditto sheet with the (+).on it and asks him to make one like,it.Attach the child's work. -:-111d.Oa*-8-0-4C' e:.CASIS TEACHER CHECKLIST (C)-4)FallSpring....:Yes No,4,PERCEPTUAL SKILLS-CONTID,,.....r..--....,...:13,es apartontessori14.&pies a +.and replace's thecylinder's (4 yrs)-.C4 yrs)...-1$'.yA,0-9--s .19 .Motor Skills Materials List (0-4 Scale)Item ,No..17.largebarrel18.toy20.toy46.12" ball47.1" beads andIstring48.- stain21..tor52.12"' ball24.toy.25.1" ball or block'26. crayon or ClothespinN27.toy33,' t

15 oy37.stairs38.coffee can or bok with lid
oy37.stairs38.coffee can or bok with lid39.book,'40.paper; crayons41'.1" cube blocksstairs20t%53.tricycleJ.54.small jar with lid55.1" cube blocks56.book57.Crayon or pencil58. .large ladder,59.stairs..61.masking tape62.swing64.lu cube blocks4;65.papeti crayons,66. construction' paper; scissors_,....,_10..-...,.421.° OItemInstructionsNo.MOTOR SKILLS15.Have child lie on- his back, take hisohand and _pull hits to a sitting position.Head should stay, in. straight line-withbody--lo lag back.Cheek on three trials.Roll child over 'a barrWafeet so he won'tfeznot he pUts hiss-hAnds outtoto catch himself:,a-,#r4%64-,,1."teSts.sby'avinghild'follow brightly1 color0 object which.teacherholds,T!IQVIIW, in f

16 ronts of eyes, (head shouldbe still).IE-
ronts of eyes, (head shouldbe still).IE-.child,insists-on movinghead, test With child lyingdown on'his''''18.Have child ,lie on stomach and-PeophIMilk..up on his elbows.He should be alilet("?'remain in this 'position holding his head 'upfor 'at iiast -1 minute.Have,a toy for the.child to.play.with ih-'orddr to Keep hisatte tion and interest..,e19.Ei.th r observe child actually,crawlinginthis manger or demonstrate an alligatorcrawl and see if the child can imitate.:txt,.`Pugs whole hand on toi),of toy, th!},,closesfirst arc kind it. leaving,hand somewhat flat.'Nofinger-thUmb opposition:.4,--7.;9.4Child-holdssomethingomething and/orsomeone is holding onto_himi°but,he..-supports hiown,weight23.O

17 bserchild ,craWlinask child.tocrawl Like
bserchild ,craWlinask child.tocrawl Like g dog A,demonstrate -poSItionhe, is to-assume;.,_°r11,a%24: "'Have de6 frObletoy at arm's length, fromchild andtell iM to get thetoy.He:,' should t(e able" oreAch-AnS-grasp the-toy.-25: IGive the,Ich'''Fits iito;44't,',ransferri1rchild in' lay.*a'1P-ball or block-.:-which-,,hand easily.Demonsrate':from one hand tolathe :othto d1;it, or obserme thee)Ol2.3 ItemNo.Item.CAgIS'TEACHEF CHECKLIST'(0-4)FallSpring-°Yes No Emerq.Yes No Etherq.Comments.......)S...MOTOR 'SKILLS.,.,.-i.,A..,.,.15.When pulled to sitting there isno.,5..,head lag.(6.,dos)...k'16.Cah,roll/ bgth prone to.supine and si,ipine-.,,,.to proneA (6 mos).-....-,-y...?.--f,';'--.17.Exterid,arms

18 to\catch self if falling.4'.-.o.'1(6mos)
to\catch self if falling.4'.-.o.'1(6mos).\./14,1...t.....18.Canhold' chestand headup.whenlying on.,..,r....stomachand'supported by fdrearms.(6 mOsi..1,,...,i,,..,,,:%..,.19.Crawls On-stomach pulliDg withArms,,..,.pushing with.egs'(6 -Los)..A.-'%..?..20.Exhibits'Palmar type_41/,,sp.pf.,toys....,ti,-:---(e:mos)1,,,-,-.,fit,,,,.,,..,..- ..t.,21.*Follows object 180°or past midline.-L.-,-(6' mos)____""......%,.,.22_Supports full weight when placed in......standing positial(9 mos).-.._23.Crawls on hands arid knees-- (9 mos),en.1....,..k........-,,24.-PtirpoSefulry, reachesand 'grasps (9 mos).,,,----7-.I9,91C.Transferstoys-one hand to, the...,otirer(9 mos)4-'1,.'......e.-25....- .-12 7 40-4-Item-No.

19 InstructionsMOTOR SKILLSOffer child some
InstructionsMOTOR SKILLSOffer child something small like a crayonor clothespin.See if he will picksit upby placing, his hand down flat on table overobject ana-Aoing side of thumb and fingertogether to pick it.627.Have interesting toy for child-toatch-or-play with fora minute then remthe toy --put it behind your bAck or in a box:Childshould look for toy or, where he saw it lastfOr about 15 seconds.28.2(9:Gets self into Sitting position from lyingdown with9t any help.30.31.Gceeping often in handsand feetositiOn-rather than hands and knes.o,433.When Asked-to give you a toy, child canopen'his hand and drop toy into your 'ex-tended hand.(Do both hAnds)34.-2iti,11,36.Child still very unsteady and w

20 alkswith feet about 12" apart.111r3127 I
alkswith feet about 12" apart.111r3127 ItemNo.:'ItemCASZS TEACHER CHECKLIST (0-4)Spring,Yes No Emerg, Yes No Emerq.FallVOMments'_MOTOR SKILLS. coNT'D.e '.26.Uses sc?.ssor grasp (side-QS thumb andside' of index finger)*(9 coos)27.Follows toy, and looks fortoy that.*477-7-1disappears(1 yr).28.Pincer:grasp(index finger and thumbopposed-1n flat circle)(1 yr)Gets sell into' sitting position from.lying down and back down again withtrunk rotation (withoutany help)(1 yr)-30.Pulls self to,,standirig (1 yr)31.Creep3,ng iswell coordinated and(1 irr)-rapid32Wails with hand held.or may.tae 1-2steps aldne (1 yr)33.Purosetrullyreleases fn object (1 yr)34.iAA e-stabding.pothitionTwithoutsuppo'r-S throughjrai

21 lk rotation(18 mos)35.C. iMbs into adult
lk rotation(18 mos)35.C. iMbs into adult chair'(18 mos).,.,.(.36.Walk's independently, toddler--'widebasegait (18 mos)-.a.28714,29 -150-4Item:instructionsNo.MOTOR SKILLS37..Crawls up and down stairs or g es upand down in a.sitting positio38.'Opens thirigmlike coffee can or boxif lid is not:too tight.Afseachild's-1-40_1:4R., nota magazine,child will turn 2'-3-4 pages at a time.40.Give child crayon and paper and ask himto color.-. 41.42.43.Have child ruh ''with youor chase himObserve running.44.Demonstrate Walking frontwards and.backwards:qi'45.When child is in,an all-fours positionor standing ,on his' knees tell him to;10-stand up.He should 'do so withOu)helpfrom" (teacher or without' holding

22 untofurnitgre.,74(4647 fItemNo.Item,CAST
untofurnitgre.,74(4647 fItemNo.Item,CASTS TEACHER CHECKLIST (0-4)-MOTOR SKILLS CONT'37.Goes up and down'stairs on all fours(18 mos)FallSpringYes No Emerq. Yes No Emerq.cN,38.Opens simple *trainers (18 mos)39-Turns-pages of,a'book -,several. at a'r,time (18 mos)40.ScribbleS spontaneously- grasping_crayon with fist.418 mos),41.Builds tower of 3 1" blocks (18 mos)42.Walks upstairs holding railing- doesnot alternate feet (24 mos)43.Runs ,stiffly and awkwardly (24 mos)44.Walks frontwards and backwardS (24 m6s)e45..Rises to standing from kneelingposition without support (24 mos)46.Throws and kicks.- nodistance {24 mos)47.Strings' 1' beads '(24 mos)4I4Comments.019#-16-32 Item.InstructionsNo.MOTOR SK

23 ILLS48.49.50.51.N-17-0:4452.Ball can be
ILLS48.49.50.51.N-17-0:4452.Ball can be eithethrown or bouncedto53.54.Use ajarwhi-his small enou forthe child togee hishand' aroundhe lid..55.56.57.58.Have child climbup and down ladder. OItemm414444ft'CASIS TEACHER CHECKLIST(0-4)-"N.FallSpringYe's°No EmerqYes No Emerq.ents4/.4849.�-$.1(5...,53:54.55456.57....s.°MOTOR SKILLS CONT'D'.......,......-.....-.,,,..,...,_,,0...-..-....1..--i.,,..,0%.:..,...',-...,.....,:.',.,.,.,.:,.......,(---.2...,...+'',...t:..,.....-q.....Walks upstairs alternating feet; doesnot alternate feet going down (36mosY,Runs in well coordinatedmanner 7 seldomloses balande (3e mos)..Jumps up with both feet atonce,, andlands on 2,feet cir jumps off low-furniture wi

24 thouV, assistance-136 mos)rSea ds on one
thouV, assistance-136 mos)rSea ds on one foot 'at leastone second.Catchesa21'',ball,when ot.hf:ownbtO him6 mos),',-,.,.Pedals a tricya (36moS)l.\4 .. 4Ns--'"eC an screw lid on.e(36 mos,_-Stacks up to 4' bl ecks (36 mos)ATZn;pages ofa l000koneat a time-__,(36" mos).......Begins to holdcrayon k, enCil withwer-thumb grasp.(36- O)fim.,Recipr gaily climbs barson ladder.148...mosr\,,... ItemNo:59.60.InstructionsAOTOR SKILLS61.Put two piecekof tape on floor about2 feet-apart.,-Have.child run and jumpover them.62.63.Demonstrate or explain.somersault,' it.necessary.- 64.9,65.,e66.Use co strudtion paper or something) thatis a 1 ttle bit stiff..0-4 ItemNo.0;cAsis 'TEACHER eHECKLIST (0-4)\FallSpring\,.No

25 EmerYei No EmerComments.P9.60.61._,62'.
EmerYei No EmerComments.P9.60.61._,62'.63.64-65.66-1MOTOR SKILLS MKT ' D,f-#e,.t:%.- r-4,,.:).:Trios).,.% )T)t. '4.'.'.,mos.]tine)....o.".`..,.....:,.2..k..,.-,...-..,-...,.,--Of.i._........-f,..Alternatesfeet -coining downstairs,.(48 mos),.,,,,,,,,Ba,lances on one''foot, 84,econ.:.-04/.:Runs and lumps hr..;:nlyn01';',;,00.-.-7.-feet (48 mos),.:1",:,,,fli'''if1:4,4;3".4'4Swings self(48:41.4...tit..:r.. ...fe.:,. V'.-4.'''.4:!..k-,,,''t,,T4rns somersault-'I....N.:,Stacks10or-morecubes(48inos)-:.Draws a fa0e- with.3features 148? ?,Cuts with scissors(notfollowing(48 mos)..4 J.k37-20-38 I.ItOM No.ASelf-Help- Mkterials List '(Scale)-4.74.Wipe-and-Dipe80.ripper boardbutton boaitdOAL.41I (ThIt6mNo0

26 ,InstructionsSELF-HELP SKILLS67.Observe
,InstructionsSELF-HELP SKILLS67.Observe during lunch.68.Observe during lunch..4-,-22-0-469).'HaveT,shoes unbuckled or untied.Child,./-need only pu11,..off shoe arid' sock.70.Putsarm in sleeve, extends leg for pants.71.Score "no" if wears dilpers,'"yes" ifdoes not.72. 410bsekve during child's lunch- -when eat-.,ing cottage .chedse,peas11/4, ofruit coCk-tail.73.Observe during lunch..74.Use WI:Re and-Dipe on child's face tocleaA-ittt-*10o,ndicate whether verbal4Or nonverbal.76.",Child has B.M. in toilet--childsplaceedpn,pOtty after eating.Childdoes 'not ingicate,ne9d.77.4 378.Child helps pull pants urIL-extendaarms through sieeve'of shirt, etc.A79.Child helps pull off-pants, adultassists with un

27 tying of shoes, etc,.41 ItemNo.ItemCAS'S
tying of shoes, etc,.41 ItemNo.ItemCAS'S TEACHER CHECKLIST (0-4)'FallSpringYes No Emer.es No Emerg..Comments._.SELF HELP SKILLS..,.,'..,.,.6,\-..-.,.,...,.A&...1I......,,.*../.-....-1I.,,,,........4..,.0*X.,.,-,.,......,..a..-,...."4 3...,.t.67.Feeds self cracker (6 mos)t68.Shows preference forsome foods over-others (6 nos)'N69.Removes shoes, socks (1 yr).70.'Cooperates in dressing (1 yr).171.Wears diapers (1 yr)72.Accepts; chews, and swallowssomelumpy foods (1 yr)iik-73.liolds'cup.alone(l Syr)..,..74.Permits washing and,dying ofhandsand face(1 yr),75.indicateswet pants (2 yrs)U,:76.Has bowel control 0 yrs)77.verbalizes toilet needsfairly-consistently('2 yrg)78..:Asgistsn dressing. (2 yrs)'i,

28 79.- Undresses -with adult-assistancefor
79.- Undresses -with adult-assistancefor-Ishoes, socks, pantsand-underwear.(2 yrg),,),`_.:,-,...,....9-23-' ItemInstructionsNo.SELF-HELP SKILLS80.Use zippe board (large zipper).81.82.Observe during lunch.ea"4-24-0-483.Observe during classroom activities/note if child mouths toys, objects,-etc.85.4486.Observe and model hand washing.../87.88.Use child 's clothing.89.Child must remove shoes,and long,pants or dress,undo any fasteners.Yes,socks, underwearChild does not= at least =r3 items.rrAe Iterd/No:CASIS TEACHER CHECKLIST (0=4)FallSpringItemYes No Emerq. Yes No Emerq.Comments*SELF HELP SKILLS4CONT'D80.Can unzip dipper(2 yrs),81.,Holds, spoon, brings it to hismouth andlicks it(2 yrs)82.Uses spo

29 on, but-scoops poorly andmaytip it befor
on, but-scoops poorly andmaytip it before it reaches mouth (2yrs)I83.Discriminates edible substances frominedible ones(2 yrs)84.Feeds self independentlywith super-,vision (2 yrs)oloS-85.Diinks fromcup using two hands and-returns to tall.e without spilling (2yrs6fl.Attempts washing hands independently,imitates adult washinghands _,(2 yrs)....87.-Pulls down pants attoilet(3 yrs)88.Attempts to put on some clothesindependently, may put both legs inonepant, leg 6i"4et shirt on backward. Pullson ,socks and pants with assistance ( 3yrs)89.'Takes-off,7thost clothing unassisted(3 yr6)4-2 5--41, . ......446. ItemInstructionsNOSELF-HEWSKiLLS490.Use button board.Must button atleast 2 button's.91,x;e inut

30 tonedshirt--have shirtinbuttbned;',.92.O
tonedshirt--have shirtinbuttbned;',.92.Observe during lUnch.93.Observe during lunch.94.95.96.Help' child hold brush-lase up and98.99:Have tied shoesunlaced.down stroke...Child must'ust temove all clothing.untied and partially100..Observe duringlunch, have meat cut.47^rj-26-,0 -4 4---em'No.'ItemCASI'S TEACHER CHECKLIST. (0-4)CFallSpring.Yes' Na Emerq. Yes No,Emerq.Commehts..SELF-.HELP. SKILLS CONT'D..,...........__.11..-..q..1.ego,.....DO\.-,_........,_,AM..,,s.4..., ........41 ........,..,....,.,.°,,.-li-,.'...,__,.....,_....-.,.....,,IR..,.,_,r,..4...A....,.A.90.,Buttons large (1") buttons (3yrs)91..-Puts on coat, shirtor dress un-assisted(3 yrs).92.Begins using fork (3 yrs).... .93.Eats at

31 table with9ut requiring-toomuch adult. a
table with9ut requiring-toomuch adult. attention.(3yrs).94Gets drink unassisted(3 yrs).95Dries own hands(3 yrs)"-..,..96:Accepts assistance in brushingteeth-13 yrs)-0..,/...97.Cares for selft toilet - such as'..t.Jwiping self, fl shingtoilet with"--.'- .assistance,(4Ts),0_- -4.....--''498.Undresses self unassisted'(Te)99.Child pulls, on shoes And soaksun- .assistedx.14 yrs)!,,.*W100.Feeds Self independently with,nosupervision-(4 yrs),._...S...e.,,,r,..-48.-p ItemNo.InstructionsSELF-HELP SKILLS-28-0-41014,102.Observe during lunch, cooking activity,103.or in home center.Check grasp.104.)4Oji9'50A. Item',No.pItem.CASIS'TEACHER 'CHECKLIST(0-4)FallSpringYesYes No.SELF HELP SKILLS OONT'D...a,4.,,..

32 ....,4.-,....I,,.-......6e..--101.Spread
....,4.-,....I,,.-......6e..--101.Spreads 'butter on bread with knifed(4 yrs).dr102.Usres a,fork appropriately '(4 yrs)103. 1Diinks'neatlyfrom-cup using h'andle:1(4 yrs).t*,104.Confgrmsto.appropriat'e tablemanners,)..i'(4 iu-s)5152 INOItem11.No.Ct...Instructions'SOCIAL AND EMOTIONAL SKILLSJ105.Definitions:,1.Plays alone or engages in...Olitary play.2.Child .plays alongside, another childaria usually enjoys being with shimbut is primarily interested in hisown activity.7,R173.Child has an increased interest inplaying with other children.2 or3 may play together in a group andactivity 'change constantly.Drama-tization a5Id imagination:are begin-ning to -enter into play.The childis willing to wait

33 his turn .and with!suggf4gabri, will pu
his turn .and with!suggf4gabri, will put his toys away.liis-b-lock play is concerned largelyrliber than build-.'in_3,1-iy one_ thing.-`1.14,.c lId can engage in group play,..the'size of grOup ranging fromtwo tofiye children.There is a definiteinterest in finishing an undertaking,even though it, may need to be carried.over from one daythe next..Dramat-is plalcan be ereative,both in actionsand costumes which may be oreat4d.from-materials at/hand.- Also the child mayplay complicated games such as floorand table games..0-4.106.1.5`) -c./ -;-A4CASIS TEACHER CHECKLIST-pSOCIAL- EMOTIONAL SKILLS105.Levels of play (check area appropriate to child)106.1.Isolate (0-2 yrs)2.Parallel (2-3 yrs)3,Associati

34 ve (3-4 yrs))1\4.Interactive or cooperat
ve (3-4 yrs))1\4.Interactive or cooperative (5-6 yrs)r:(0 -4)Length of attention spanLess than1 minute1 to 5minutes5.: to 10minutesover 10minutes1,2.3.4.-,%Independently..One-to-oneSmall-aroup1,..Large Group.(self chosen)...(4orless)-.....---I.(.I-...-.I".--..-'''.oe.-0._,-..tai1....- ItemNo.Instructions-'32-0-4SOCIAL AND EMOTIONAL SKILLS107.Check box if appropriate behavior isptesent and briefly describe appropriateor inappropriate expression or gesturein comments-section.';.ItIO OCASTSACHER CHECKLIST-07-4y.a4-$OCIAL-EMOTIONAL SKILLSt107'.14,Emotionrr.,,--,AAppropriately gesturesor -verbally expressesto adults.,.,..-.1Appropriately gesturesor verbally.expressesto peers.r-Comments.,A.Happy,*.

35 L..,....VB.Sad...\,,..J44,....4.6...-1,r
L..,....VB.Sad...\,,..J44,....4.6...-1,r.C.Aggres-sive.4.-.._..D..Angry..,,e._Q.._,......,E.Frustrated.....\1.,.57.-33-APPIPWS'58 'ItemNo.InstructionsSOCIAL AND,EMOTIONAL SKILLS(108.% given are of behavior frequency.-4w"._er 108.SCHOOL BEHAVIOR CHECKtIST(0 -4)ItemAlmost Never,A.Attends sibol regularlyB.Demonstrates self- controlC..Child accepts his own lAmitationswithout undue.frustratiOnsAIS hea.good.loser?)'4,1Child engages in excessive show-offbehaviorgChildexerts a reasonable amoudii7of effort and does not giveupeasily:OW''ckt-oF.,Child is free from tensionalout-lets such as facial grimaces,nosepicking, nail biting, thumb sucking,eye 1511inking, sniffling, or crying,nose twitching60411!,s

36 ,s`1.S4":1I,11r(34-66%)(67-100%)Hlf The
,s`1.S4":1I,11r(34-66%)(67-100%)Hlf The TimeConsistentlyaassa61 item,No.InstructionsSOCIAL AND EMOTIONAL sxrus4113.Definition':Doesnot share, very posses-°sive of own toys, clothing, dishes.114.'115..62 ItemNo.ItemAOASIS TEACHER CHECKLISTN.,(0-4)FallSpringYes No Efiter. Yes No Eme.Comments--.S?`SOCIAL-EMOTIONAL SKILLSt..:.......,,vp-,....j... ...,,.....-,....'........K.,.,a...'---..,.....-..-.,..-J-,w,.o.........-......__._r-,_......--..--.,.__,.4..p.._..'.-64...,.-.109., Acknowledgesand manipulates otherpeople, performs for others togeta reaction eitherpoqitive'or negative('; yr ),.0'.4110.ShOws shy or coy behavioraround-,..Stir-angers ( 2 yrs),.A,111Reaches for familiarpersons (2 yrs),112:,

37 / Resenttul.of attentionshown to other..
/ Resenttul.of attentionshown to other...children (2 yrs).e......-''e113.Well developed *conceptof "mine" (2 yrs),t....,114:' Exhibits trust andmistrUst_if_peoplek-'and objects; avoids danger, (2yr.$)'1;1.5..Easily separates frommother. (3 yrs).,1Chooses what he wants to doandk',,I,'.perseverateson that choice(3 yrs) 1,.'117.Transitions are often difficultand(may betklelped by tryingnew ways ofdoing things-or by movingto another'0,.room(3 yrs).-.-63..,-37- ItemNo.118.Instruction'sSOCIAL AND EMOTIONAL SKILLS119.For ,example, putting away toys, settingtable, .etc.120.121.122.123;0 1E. ItemNo.IItemCASIS TEACHER; CHECKLIST (0-4)FallSpangYes No Emerq. Yes No Emer.Comments.,...,SOCIAL - EMOTIONAL S

38 KILLS CONT ' D........,,...0..,.,L'.#..,
KILLS CONT ' D........,,...0..,.,L'.#..,...)1..7..,).,.118.Interacts with playmates (4'yrs)0119.Helps with aduilAactivities in clas's-:room(4 yrs)-A-if...,,,--...120Goes on errands alOh:=1,)--'..;',:;,,7e clats-room .-(4 yrS)-;:,":e.Jz-,:,,,--z..,121.Sh.''''tic responge to injFryori-i,e'e,-4S d4.Z1 OSers(4 'rrst,,,.,:-,4 40-k,/i0igk2.******..4...,'123 Transiaoless difficult and maybe helped.!.`adding' new mateialsor us-Jing'child's.new,interest.innumbers as,."By the.timie'I count to 5." (4 yrs)0180/014,se.A-Nesa00 60Item No.128.assorted pictures-136.book, toy car, ballLanguage Skills Materials List e0-4 Scale),143.comb, spoon, cup, shoe, book*toy broom, toy, hammer, comb144.('145.baA., smallb

39 ox146.bock, shoe, balle150.twoAdenticalc
ox146.bock, shoe, balle150.twoAdenticalcups154.'pictures showing actions:flying,'1sitting) catching,. hitting, peeking155.two glips, two spooys161.two identicaballs, cups; -or dishes4168.assorted objects such as balls, box,chair.C-681Ir gtem.IInstructionsLANGUAGE SKILLS124.Turns head in direction of voice/sound.125.When played with and uses other vocaleiNtrespions of ple4sure.1126.Regularly stops' activity when own nais called.=,127.Regularly repeats series of same sounds,especially when alone.1''128.Seldct high interest pictures.Indicatetime spent lookingat pictures.Score emerging if *kid appears interestedor'is attending.129.130.0 -4-ASk child: u,Showme, where is..yes if child identifies by

40 pointing.ing if child looks fleetingly
pointing.ing if child looks fleetingly at clothingmentioned.'ScoreEmerg-131. -Score emerging if child accbmplishesonrepeated requests.132:List word.If childlist them..,69133.has Tess than teri words,46k134.Definition:Child seems to'conversationally, though noare used.135.Yes = 4 correct answersI-0e talkingeal words ItemNo.ItemCASIS TEACHER ,CHECKLIST(6-4)LANGUA6ESKILLS124.Localizes sound (3 mos)FallSpringYes No Emerq. Yes No Emetq..Comments125.;Laughs out loud (3 mos)126.Responds tO15wn name( 6 mos)127.'Babbles(6 mos)128.Will sustaininterest for at least .01full. minute in lookingat pic..turesif they are named.(9 mos)I,129.Plays speech gestiregames like "peek-a-boo" or "pat-a-cake".(9 mos).1

41 30Shows shoes or other,item ofclothing_
30Shows shoes or other,item ofclothing_ onverbal request -(12 mos)131.Waves bye-bye or claWhandson verbalrequest(12 mos)132.Says one wordappropriately(12 mos)133:Attempts to express needs through.gestures and /or vocaliZationsotherthan crying.Points'desired 9bject;gestures to indicatneeds.(12 mos)..134.Usually vocalizes in.4ried jargon.patterns while playinalone (12 mos)O13.poiptsto mouth,'hair, ear,',-nose, handwhen asked, "Show.me.yourrti (12mos)I I-42-ti72 I.-43-rtethInstructionsLANGUAGE SKILLS0-4136.Plabe 3 objects in front of)child. (book,Car, ball)Ask-child, Shom me ball.".(2 trials) "ShoW me book."yes =' iden-tifies both objects.137.no not use gestures.Yes = 3138.List in comments sectq

42 uestions usedby examiner.,,139.Child as
uestions usedby examiner.,,139.Child asks for specific thing riotneces-sarily in multi-word question form.140..141.142.' "Get your coat .(or other personal item).and. sit down.""Close the 'door ana comehere."Yes = both correct.-143..Show child comb, spoon, cup, shoe, loOok.-Ask child to' give you or show you combthen spoon.(Returncomb to group beforeselecting spoon).Score yes if he getsboth.':.. Give child broom asking him to use it.,(show me how to use this, what's this forlr,show me).'Repeat, with comb and toy hammer.:A -4%t47 3 ItemNO:Item.CASIS TEACHER CHECKLIST(0-4)FallSpringyes No Emerq. Ylis No Emerq.LANGUAGE SKILILS,CONT'Di136.Discriminates 2 objects by.name (18 mos)137.Demonstrates

43 understanding by appropriatpresponses' t
understanding by appropriatpresponses' to such Verb forMs as "sit' dowil""come here", "stand up"(18 mos)138.Shakes head appropriately Vor"yes and"no" in responseto simpld, concretequestions(18 mos)139.Asks for at leisC2 things)(e.g. food,drink) without sitUationalicues(18 mos)4140.Has verbal Vocabulary of at: least10,spontaneously and' appropriately used. words .(18 mos).141.ImitateS)environmenal sounds (sudhasmotorse,ahimals,_etc.)spontsaneously3during-lo1ay.(18 moss)142.Follows 2-stage related c1mmands (24mos411410-04,0143.Upon verbal request selects an itemfrom,a, group of 5 or more obje6ts (2(- mos)-144.Identifies-3 objects by demonstratinguse (24 mos).111,, G.7.44..Comments.I7.5 )ItemNo.

44 \Instructions-45-0-4145.LANGUAGE SKILLS-
\Instructions-45-0-4145.LANGUAGE SKILLS-3and..Ask child to place a. ball in)Dox, on I153. "ThroleLthe paper in the wastebasket.and sit on the chair.""Get yourshoes (or 'other personal item)table, unqtr table. 'Yee = all correct-ly a'ccomprished._put the .puzzle' on the shelf."Yes =146.Show child.boot,shoe, ball.pick. upboot, 'ask child to give you one likeit. ,Yes = correct response.emerging =child picks up or points to correct itembut does not "give"..both accomplished.t147.Give' examples-in..-comments section.148.Obtain in observation.If unable to'observe, ask child (point) "What is'this?"List Objects named.149.Give examples in comments section.'-..150.geed 2 identical cups.Place one in fro

45 ntchild.Say "show me your cup;/Slow me m
ntchild.Say "show me your cup;/Slow me myUr'cup;" repeat 3pairedtrials.Yes 7--.2 of3 trials.,/15i.Child is credited for appropriatenesi even-if pronoun is used urigrammatical(e.g.me, want a cookie).152.To elicit child response, teachefr will say"Listen, Say,'time to go:'" Yes = repeats6verbatim.37'i46 kItemNo.ItemNGUAGE SKILLS CIONT'DCASIS TEACHER ..VECKLIST(0-4)FallYes No Emerg Yes No Emer5:145..Diffe entie$.esNbetween in,on, andunder (24 mos)146.Shows generalization by matchinglike(not identical) objects. (24mos)147.ombines.worrds. in simplesentences,word) like "go bye-bye," "Daddyome," etc.(24 mos)Names familiar .objects while ,playingwith them or when pointedto (e.g bal'l,car, doll)(24 mo

46 s)149.Asks simple questions(unsolicited)
s)149.Asks simple questions(unsolicited) suchas "Where ball?""Go bye-bye?" (24 mos)150.Discriminates between "my" and "yotir"(30 mos).151.Uses,prciliouns I,me, and/or youappropriately (especiallyin referenceto self)(30 mos)152.Repeats 3-4 Syllable sentences ih.-imitation"sucWas"Iwant cookie,'"time to go,""Give me atoy." (30mos153.Follows, 2-stage unrelatedcommands(30 mos)78-46-0./Comments79 OItemNo.InstructionsLANGUAGE SKILLS'.154.Show child action pictures.Teacher says"show'MP fly, sitting, catching, hitting,peeking."Yes =4/5.471°0-4155.2 cups, 2 spoons. )Tell child "Give me cup""Give me spoon ", "Give me 'Cups." "Give meslioons."Yes .= 2 of 3paired trials156.Ask child:What scratches?What sl

47 eeps?What flies?What bites? IWC;t swims?
eeps?What flies?What bites? IWC;t swims?Whatbdrns?What cuts?, What 'shoots?What melts?Yes = 6 correct answers157.During play, structure situation to elicit anegative statement.Yes = dtters a negativestatement of more than one word.' Emerging =one word negative (no).158.Ask child, "What does a cow say?a, kitty say ?!'159.Tell child "Listen, Say, ''The boy is walk-ing.''Say 'Sit down on the chair.'. Say 'I'like to eat cake.'"Indicate, errors ofomission, substitution or word orderchanges.- Yes = no error, emerging = 2 out5 correct.80OAs*161.Show child 2 identical balls, cupsor dishes. Say, "Here is a cup; herearef2." (Child is to fill in°with plural.fOrm.)1i162.Ask child "What is a dog?"What isa

48 ba 1?"Score yes any verbal response6wil
ba 1?"Score yes any verbal response6wilicindicates child understands noun.163.Tolli child', using gestilres;-"Lilsten,I ,waht you to do something forPut the pencil on the Cha4:,:then,rclose the door and-U.ihg methe-tballop the table*."2,trials.Yesrhildcorrectly performsitask in correctsequenceon first trial,.Emergin4=ch4d performs correctly on 2nd trial.J164.Ask 'child to place himpelf in positionsnotc4d'Yes = 5 out of 6.Emerging= 4 out of.6.;A81 Item.No.ItemCASIS TEACHER CHECKLIST (6,,4)LANGUAGE SKILLS CONT'b,°154Car identify several pictured actionsappropriately(36 mos),, SpringYes No Errearq. YesiT6'EmerqI4155).Dii*Crirranates plural .from singular,nouns (56 mos).156,Gives name of actor1(

49 36 mos)'157. -Utters a-riegative ,statem
36 mos)'157. -Utters a-riegative ,statement(36 mos)'158.Can answer quetion's 2ndicatingyocalizai-ion (36 mos)159.an repeat at least a 4-5 syllablesentence t(36 Rhos)160Relates experiences, ,usually inre-sponse to a question (36 mos),161: Pluralizes regularnouns (36 mos).111.e61/1:.Comments162Can elabovery familiar_ vocabulary(36'mos).e163.Carries out 3-stage gestUred command*"(315 yrs)164.i/Discriminates preposAioris- in front, ofin backolr:,, by, next to,,up,.ontop:(31' yrS824,A'.o -O Item.No.InstructionsLANGUAGE SKILLS-49-/0 -4165.Record 2 sentences meeting requirements.166.Arpk child to tell you the "story" ofAck and Jill, or other familiar-rhymes/Begin rhyme for child if netessat..Yesif c

50 hild can recite rhyme With ?fay 1errot (
hild can recite rhyme With ?fay 1errot (omittedor substituted Word).\._Score emerging if child isaBle to fillIn key words.167.Ye 4/= 4 correct.EmergingF,12:c6r3 correct168.Tell child without gestures,"Open, the.door, find the ball and put it in the box'-by the%chair.l'oYes = cor4eCtly accompli hedon 1st trial..Emerging = correVy accom-plished on 2nd trial.0169.Yes = 2 ypropriate verbal statements.,Emerviling =appropriate verbal- statement.Give examples.170.Obtain through repeated observations.-Give examples.Ask child to walk or scoot forwar'd orbackward.1714.$8 4172.Use either one of following, sentences."Torn has.lots oL._fun playing ball withhis sister."'Jaffe wants to bpild a bigcastle in

51 her paybouse." Ye4only if4-repe ted verb
her paybouse." Ye4only if4-repe ted verbatiii (EXCLUDE articula-'_ticln errors). 'Do not.repeatAentences._S2 examples10in comments.8ue," Itemo.1.aItem'.CASIS TEACHER CHECKLIST(0-4)FallSpringYes No Emerq.Yes No Emerq.LANGUAGE SKILLS OONT'DCommunicates in 6-8 wordsentences(31/2 yrs)166., Says at leastone nursery rhyme(31/2 yrs)V.*167.Responds-correctlY-EO questions(4 yr"Do boys play?""Do chairs eat?"1111r"60 airplanes iffy?""Do bananas telephone?".0168.Follows 3 stage commandwithout gesture(4 yrs).e169. Answers comprehensionquestions requirilogical conclusions:,(4 yrs)"What do "you do wherv,you'recoled?""What do you do when you'resleepy?"170. ,Consistentlycomprehends concept ofpamdifferent'(4 Y

52 ss)171.(Gankn put self in poiitionsof) b
ss)171.(Gankn put self in poiitionsof) beside, between,forwardbackward,(4 yrs).0.172.Can repeat a 12 syllablesentence (4 yr/4173. 'Uses many "how" and"why"-questions.___-..nAsks for detailed explanationg.Oil, yrs,SoCommentsFa"IS. a0-4ItemInstructionsLANGUAGE SKILLS174.Give 2 samples in Comments.175.Ask child "What isa shoe?is a clock?",'Yes = both, verballydefined,orrec ly. .Emerg-ing = l'defined.4010"I4Iee..884.144t. 01ItemCASIS TEACHER CHECKLISTG4O-4)Fall,SpringYeso Emerg. YesNoEmerQ.Comments.174.175.LANGUAGE .SKILLS CONT'D.....4.......,v.,r0.-.1Uses compound sentences (I wantto'drinkwater and then play.)..(4 yrs)Can define' shoe and clock(4yrs)B9-7?OM-52-4.ta4.4.-0c6.)ao `--InstrtictionsLA

53 NGUAGE SKILLS41/1111.1111-53-176.Rating:
NGUAGE SKILLS41/1111.1111-53-176.Rating:0 - lacks desire and ability 41 - 4as desire but lacks ability2.- lacks desire but_Aas ability-q - 1-as both desire and abi4ty......,s;;i4177. .40PLANGAUGE EXPRESSION'OASIS TEACHER CHECKLIST(0-4).176.For all verbalfcildxon.'Rate the child from 0-3on the following:Expresses self.clealy, easily,and readilyIVerbal output appropriateto:':situatiOnQ.Us$ language spontaneougN7tocomMunicatemeeds,feel-1*gs, ideas with-children:*2"--With adults:.ArticulatNion0'177.Check (41 presence of behaviorliste -ti.1ANo "intelligible utterances.Single words intellig.-ble-V imitati6nonly4Single worth intelligib'u.Sentences oi;pprases intellig...,:,..Conversation-,intelligibl

54 e'Multiple, -obv/ousarticUlationflerrtaI
e'Multiple, -obv/ousarticUlationflerrtaItsDrools continuouslyDroolsOatasionall1TV.S..' N.:'...- -.,/r-V. -'"...1:1;..-:xt..74;.44.A1 7Item'InstiuctionsLANGUAGE SKILLS178.179,.4,q('71,4.ti9.-55-Otopik r.,CASIS TEACHER CHECKLLST -)(0-4../Item..s.,,,.No.ItemVoice Quality178.Check (-4 child's voice characteristics:"InaudibleO,Low volume;HoarseNasal.Hia's known -allergy,060*NFluency179.-,Checkchilcvs-fluencv:-tylfRate apppars adequateWord repetitions evident(II-I,want a cookie)6aStruggles to'formulate wOrds.Speaks -too rapidly1.",Speaks -too slowly.';';',-;./P0I )..i'-56-7--'1 Pre-AcademicMaterials List (0-4 Scale),\.Item.No..-t%180.two balls:(one large, ,one small)Apl,*196ttwo name cards (one mus

55 t shoWname.,4,of child being asse+ed)181
t shoWname.,4,of child being asse+ed)181.rock; klednex.,,.198.26 letter cards (one alphabet letter.,.*10.paper pquares,'.6ne each ofblue,.to a card),yellow, green, orange, purple:...199.assorted coins1831'.ten pictures of objects °(7 must be-food,items).'A);200.eight Ticker Toy 'sticks (fourlong,.,.our short)'185:blocks, c'ards, beads (geveral of each),,..203.cube blocks:189. -pictures:cat cup, 'fish, feather..190.four boxes (assotedsizes)'f.:f.......4.3.19i.,,.Zour-flarihel shapes (s4gate, circle,rectangle, triangle)192.'two balls (Rne hard, ,one soft) ;sandpaper; writing paper.paper' sciligres from #182hOpposites".cards shoWing tall short,up -down, open-shutAA*193.194.195.9.8ten pictures of

56 objects (.7 must bekitchen items),f-57-
objects (.7 must bekitchen items),f-57-mt.39 7. ItemInstructions-..-58-PRE- ACADEMIC SKILLS180.Show child-2-bails (1 b.kg,1 little)"4Say; "Show Me .the big ball."Dotrials.'3 correct responses = yes181',Put large rock 'and kleenex in child'shands, 1 in each.Ask child Which is *,heavy?Which is light?"Yes =.bothconcepts correct.'t_*182.Put one paper, squire of each color (red,yellow, blue, green,orange., purple) ontable., Tell the child to point to a.bpecific.color.' Child passes item ifhe points to at least one color:correct-ly.Indicate whichoiortcolOrs ident-fled..183.Display 10 pictures, 7 of which-,have a0,commbri'property (food).* 4ksk child,t6,,point to,"what we -eat."Must find atleast 4

57 pictures for yes.'184.Ask child to say h
pictures for yes.'184.Ask child to say his fitt.and lastnamep,sc child to tell-how. Old hb is (firigersare okay).Ask child if he is'ap6r.or.a girl.Yes,= 3 correct.Indicate ...thecorrect responses foremerging,-.s..'185.-Have several b16,cks on table'. Say "Give,..m9,Oheblock."Repeat for carsy -andt..98beads._"Yes = 3 correct re'sponses".,186-.Ask child to, tell you as many things toeat as he can in one minute.List allresponses. 5 correct respoiises = yes:_187.Demonstrate jumping.Ask, "What am Idoing ? ", Demonstrate clapping.Ask,."What-am I doing?"2 correct respon'ses = yes..188.Ask child: "Where doe $,fish-ive?.Whobrings your mail?What do we see with?.When do you gO to bed?Why don't-you.play

58 with matches ?" 'Yes = 4 or moreappxopri
with matches ?" 'Yes = 4 or moreappxopriate responses.189.Ask Child to-identify word yOu are' saying.Hold 2 pictures, child is to point to one.while you say phonetically;c-a-t (use pictures of Cat, cup)(use pictures of fish,feather)190.Display fournesting box4s. -Say, "Showme the smallest box, sticky me the-biggestI,2 correct = yes..'191. .Have,4 flannel shapes on table,0 Say"Show me, the square."Repeat for circle,Etriangle,/rectangle.- Indicate correctresponses.4 of 4 = yes.a ItemNoItemCASIS TEACHER :CHECKLIST' (0SpringYes No Eimer.FallYes No Emei'T.Comments...180.181...182.183.184.185.......-186..t.187.188.189.190.191.'PRE-ACADEMIC SKILLS.o.....'..:,.0....-4.._:,.....1,.....'.,..-//,.....--

59 '-,-----NI..._'.*t...,.....-.--;.......
'-,-----NI..._'.*t...,.....-.--;.......,.1.ft,Has concept of size(21/2 yrs),Understands words heavy and light!(3-(yrs)Can identify a color by pointing(3rs)Identifies 4 of 7 pictures in termsof use"Show me what we eat."(3 yrs),..Gives full 'name, six, and age (3 yrs)Knows concept of "one; "Give me one."(3 yrs)Knows thp names of thkngs to eat.(4 yrs)'.-"Can-answer "What" Auestions 11 yts)Can discriminate "wh-." questions.(4 yrs)..,,Can blend sounds auditorially (4 yrs)Points to."smallest","biggest" object'(4 yes)Points to 4 basic shapes when givenname of shape (circle, square, tri-0angle, rectangle)(4 yrs)..,.,1 0 0' S.ItemS.%.1'instkuctios,'PR4,-ACADEMICSKIRLS.,192.Show -child 2 balls; 1 hard

60 , ,1 soft;:Askhith to feel.Then ask; "Wh
, ,1 soft;:Askhith to feel.Then ask; "Whiblione.i-hard,%which one is soit?'!- Repeatrwith,.sand.paper and writing..piPer, using fPugh and,4smooth.4 correct responses =yes.\P-I -60-*193.Show child.,.bnea-tithei paper squares.lred, blue, yellow,green, orange, purple)Ask the child,.t9 name eachas it :is shown.Score child "yes" ii.54 names ,3colors,;,.;Indicatena ed.%.t6"1940-.Shbw,child a pair of oPposite cards.Askone .is tall?Which one isshort?"Repea) for up-dpwn, open-shut.Yes = 3 pairs cbrrect-.195.Display lOPictt?res, /. of which have a."common ProOrty:(kitchen things)r.Say"ShOw me the things we use in the leitcheiv."-Child must find -5 for yes..196;Sh*childdark,onenameon it;. %Ask ,him4,wit

61 h his flame on 4.10.. Does not hayto:giv
h his flame on 4.10.. Does not hayto:give house. number.Show child-lttdr'ecards,' 1 'at/g time, oftall 26 betters:--Askhimtonameletterasit.is-shP*indiQate tetters named.3 or.more.= yeS%'of which has histo point tattle card..'o...,;19.St;ow childhaAdfal of coins.:hith what it ,is.Child muAt answer,m6nei dr. may nAme coins.1......-.-''--.$9.'200.Show 4 sets ok.Tinker, Toy stiCksw,one.-.set at a.time. -Ask' child :14hiCh is4.,'longer. ,Yes = 4 of 4_1.1201.*At snack say "Take-two cookies. h'A,t.202.:Counts to 10 correctly= yes. .-Says,numbers bqtoutpf,equence =;pmeririg.#ASk16203.Rave 3 blocks ontable.AAk childsto.count them poiniingto ellCh in 'turnCheck for 1-o-1 correpend4nceeaph in turn) .- y

62 es = correctst1-to-1 cOrrespondence'N"7a
es = correctst1-to-1 cOrrespondence'N"7a-. ItemNo..192., CrS,., 193.I194.U195.I01196-12197.198.I199..R20Y., C1202.C203.Cctc.104ItemCASTS TEACHER CHECKLIST.(0-41.FallSpring.Yes No Em rq. Yds ko Emerq.IComments..PRE-AC hDEMIC SKILLS CONT'D,,..,....,......,h Ogg Pare textures7ast hard/soft,,1\--,ugh/smooth, e.g. Which ball is'._..,4,-...,rd? Soft ?. which paper is rough?.,.ooth?(4 yrs)..-\,...entifies.2 or 3 colors-by name,...'yrs),%-1..p ,.idirdtands basic opposites (4 yrs)..,.0..e...-,...entifies 5 of :7 pictures in term-.,'.7: use (4 yrs),--._.....,.cognizes his .printedname.-.yrs)',.-1--'le..'-ves street he livesp-on(4 yrs),..-....2.,.enifis I capital letters (4 yrs):........_-..,.-,cogpiZes

63 money (4 errs)',....,.&... _ ......\n t
money (4 errs)',....,.&... _ ......\n tell whiCh 617-2'sticksis-.nger (4 yrs)'-----s-,1..,,,-/.4.,.e,1.n give e.set.of 2 objects on.-..quest,(4.yrs)-,".,.,.4,.....unts to 10 by note (4 yi.$).......4... 4:.'..unts a set -of 3 blo ks, pointing \,4.,..:7each in turn (4 yrs).,.......--.&.- r-62-.Procedure forCompleting profile Sheet1.Whenadmihistering a scale, mark "re's';for allitems which you determinea childhas already achieved.In the commentscolumn, stat,0 "beyond this stage.."l2.When doing both 0-4 and 4-7scalesonone child,- remember to exclude 4-year(48. montk) level.items On the 4-7scaleni.e. begin with 5 year levelitems.This a oids 'duplication..,3., Onthe profile sheet, use a,differentc

64 olor pep for pre andspost,tests.In.the u
olor pep for pre andspost,tests.In.the upper right hand corner.of the'sheetnote the color used for each.,4.A nuthber typed in a box is the numberof "ems for that' age bracket.For.1.'example, there are four items in the48-60 month age bracket for the Percep-tual gkills section.A .child" obtaininga "yes" on all four of these'itemswould be at tHe.60 month level.' Corisidereach cf tfrese'typed numbersas a-denominator.5.For each age tracket count the number ofitems which were scored "yes".Enter'this, number es a humerator.abbme theappr priate denominator..',6.Inthepre aPda.post columns on the rigiit`,.,_of each section 4nter4106To a1 number ofitems 6cored."vds"PTotal.numller of-Items ATTEMPTED or

65 obW.cluslyalready achieved.;.7.For the p
obW.cluslyalready achieved.;.7.For the pretest administration of eachsection,4line may:be.drawn on theprOfile sheet beginning. at the 0 Monthlevel on theileft.. The line -Shoulkd'extend to a point on the ,right Whichrepresents thd last item scored ';.yes"..If not allitems in the lastage. bracketwere scoredyes",._the line wilf.teachonly part way, across theage bracket.ExteOd the line into theage bradket'',a proportionate distance rePreseptingthe fraction of Etems'In thatagebracket scored "yes".A similhr line may be drawn 'ina differ-entcolor for the post test administration.8.Once both pre and pbst tests 'have beencompleted, the.difference'column(on thefar right) may be' used' to record gains/

66 losses:Difference = Post j numerator- Pr
losses:Difference = Post j numerator- Pre numerator'Enter the difference in the appropriatedifference .box, .,beingsure to include a"+",or 6.-."sign to indicate an overall,gain or loss foe, that section.7107.. 40rChilds NamePretest Date--PosttestN'.e..,'CasisL........Tea Cher 'Checklist Rating- ,Scale,.-Birth to '7 Years'IS.Pretest Color°-Posttest Color.,,..-.,-._.,..-..,,-Date.c__-..4...,..Months03 6 +I"912-18243036486072.84PrePostDiff..,PerceptualSkills'-4,tIIf1111-1-1,I1t11°I.1+I1'1_...60 -4 =64-7=7'4".8-..,-,,.....-tiptdrSkills-.,.i't4.II.114'1I'I 51 c71i811-I1.10,.s.....,g,,..,.:-,, -.,0....-Self714-elpSkills-,---I1ItII1112I16_1,1't11'12..,...8,--4,.......,...,_.i.,.Social-,`,'EmotionalS

67 kilts,111-,I1I1I11II1I11,.,,15-.-.-i.k..
kilts,111-,I1I1I11II1I11,.,,15-.-.-i.k......-'.:::',_....LanguageSkills.,I1IIII1-.tI1.il'i--t'2 L26II1II111.1.:,II.111........-,,.--:.-,.;..,..'d,- .-,......,-,,-..-.:,:w.,-.'4 ..-!...-,.4..-....,Pre-:..-AcademicSkillsrI40ii-II11:I.,I1.I-.1As1:1. I '-'tIi."1-,8Years.f..-,--,;, ....3'.11,;......,A,1i,....4'''-f P.4,,,,4.*..t,-.4.140:1... N.=:41/191sThe project presented or reported herein was pertorme4pursuant to 'a Grant. from the United States Office ,ofEducation, Departm9it of Health Education anti WelWare,1however, thd)opinioEs expressed hereindo not necessarily1'reflect the position or policy of the United StktesOffice of "Education; and no official endorsement by theUnited States Office