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    Checklist: I-Child'S Profile

    Uploaded by

    Benes Hernandez Dopitillo
    This document contains a checklist for assessing a child's academic performance and developmental skills. It includes sections for the child's profile, reasons for assessment, an academic assessment scale, and a developmental skills evaluation. The academic scale rates the child in areas like writing, language, reading, and mathematics on a scale of highly characteristic to not characteristic. The developmental skills evaluation observes the child's self-help skills, motor skills, and social/emotional development with space for remarks. The overall purpose is to conduct an assessment to develop an individualized education plan for the child.

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    Checklist: I-Child'S Profile

    Uploaded by

    Benes Hernandez Dopitillo
    224 views2 pages
    This document contains a checklist for assessing a child's academic performance and developmental skills. It includes sections for the child's profile, reasons for assessment, an academic assessment scale, and a developmental skills evaluation. The academic scale rates the child in areas like writing, language, reading, and mathematics on a scale of highly characteristic to not characteristic. The developmental skills evaluation observes the child's self-help skills, motor skills, and social/emotional development with space for remarks. The overall purpose is to conduct an assessment to develop an individualized education plan for the child.

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    Checklist

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    This document contains a checklist for assessing a child's academic performance and developmental skills. It includes sections for the child's profile, reasons for assessment, an academic assessment scale, and a developmental skills evaluation. The academic scale rates the child in areas like writing, language, reading, and mathematics on a scale of highly characteristic to not characteristic. The developmental skills evaluation observes the child's self-help skills, motor skills, and social/emotional development with space for remarks. The overall purpose is to conduct an assessment to develop an individualized education plan for the child.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    224 views2 pages

    Checklist: I-Child'S Profile

    Uploaded by

    Benes Hernandez Dopitillo
    This document contains a checklist for assessing a child's academic performance and developmental skills. It includes sections for the child's profile, reasons for assessment, an academic assessment scale, and a developmental skills evaluation. The academic scale rates the child in areas like writing, language, reading, and mathematics on a scale of highly characteristic to not characteristic. The developmental skills evaluation observes the child's self-help skills, motor skills, and social/emotional development with space for remarks. The overall purpose is to conduct an assessment to develop an individualized education plan for the child.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 2

    CHECKLIST

    I - CHILD’S PROFILE
    Name : _____________________________
    Nick name : _____________________________
    Date of birth : _____________________________
    Age : _____________________________
    Gender : _____________________________
    Parent’s Name: _____________________________
    Date of Assessment: _____________________________

    II- REASONS FOR ASSESSMENT


    This is conducted to find out the present level of performance to be used as a
    basis for IEP development.

    A. A Scale for Detecting Academic Deficits among Children

    Directions: You will be asked to evaluate your child objectively based on your observation
    and interactions with him/her. The child will be rated each item by checking under
    the column that best describes home/her.

    Legend:
    HC = Highly characteristics of the child
    CC = Characteristic of the child
    SC = Slightly characteristic of the child
    NC = Not characteristic of the child at all

    The Child: HC CC SC NC

    A. Writing/Language

    1. Copy upper case letter A-Z independently [ ] [ ] [ ] [ ]


    2. Copy lower case letter a-z independently [ ] [ ] [ ] [ ]
    3. Copy two- letter- word independently. [ ] [ ] [ ] [ ]
    4. Copy three-letter word independently. [ ] [ ] [ ] [ ]
    5. Copy phrases independently. [ ] [ ] [ ] [ ]
    6. Copy one or two sentences independently. [ ] [ ] [ ] [ ]
    7. Copy a short paragraph independently. [ ] [ ] [ ] [ ]

    B. Reading

    1. Identify the letter sounds A-Z independently. [ ] [ ] [ ] [ ]


    2. Identify the letter sounds a-z independently. [ ] [ ] [ ] [ ]
    3. Associate words with pictures independently. [ ] [ ] [ ] [ ]
    4. Read simple words with consonant-vowel- [ ] [ ] [ ] [ ]
    consonant (CVC) pattern through pictures.

    C. Mathematics

    1. Identify colors [ ] [ ] [ ] [ ]
    2. Identify Shapes [ ] [ ] [ ] [ ]
    3. Recognizes numbers 1-100 [ ] [ ] [ ] [ ]
    4. Add two 2-digit numbers with sums up to 10 [ ] [ ] [ ] [ ]
    5. Subtract two 2-digit numbers with minuends up to 10 [ ] [ ] [ ] [ ]

    1
    6. Multiply two 2-digit numbers with product up to 50 [ ] [ ] [ ] [ ]
    7. Divided two 2-digit numbers with quotient up to 20 [ ] [ ] [ ] [ ]

    B. DEVELOPMENTAL SKILLS EVALUATION

    Observation Remarks
    SELF HELP SKILLS
    Feeding
    Drinks from a cup/glass
    Uses eating utensils spoon, knife, fork properly
    Serves self from serving plate
    Cleans and clears place on table
    Knows proper table setting
    Dressing
    Know how to dress/undress
    Ties Shoes
    Takes off dress, skirt, blouse
    Knows how to zip/unzip
    Knows how to button/unbutton
    Toileting
    Sounds off when wet or soiled
    Uses toilet with help
    Follows complete toileting, wiping, flushing,
    washing hand
    Hygiene and grooming
    Washes hands with soap
    Washes face with soap
    Combs/brushes hair properly
    Brushes teeth regularly
    Safety
    Handles sharp objects with care
    Recognizes safety rules

    MOTOR SKILLS Observation Remarks


    Gross Motor Development
    Jumps over an object with both feet
    Walks forward independently
    Climbs upstairs and goes downstairs using alternate feet
    Fine Motor Development
    Strings beads on the thread or shoelace
    Cuts straight, curved, jagged, lines
    Ties shoes
    Puts small objects in a bottle

    SOCIAL AND EMOTIONAL DEVELOPMENT Observation Remarks


    Relates well with others in work Fairly Observe
    Plays at ease with others Present
    Exhibits self-confidence Present
    Initiates interaction (through eye contact, touching, Present
    and calling)
    Responds to His/her name when called Present
    Initiates plays with peers Present
    Interacts with peers Present

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