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Name:

The teacher will read each question to the student separately, using the
same set of pictures below.
1. Can you point to the circle?
2. Can you point to the square?
3. Can you point to the rectangle?
4. Can you point to the triangle?

The teacher will read each question to the student separately, using the
same set of pictures above.
5. Can you point to the color red?
6. Can you point to the color orange?
7. Can you point to the color blue?
8. Can you point to the color purple?
9. Can you point to the color black?
10. Can you point to the color white?
11. Can you point to the color yellow?
12. Can you point to the color green?

Again using the pictures above the teacher will present the following
statements to students. At this point, if students do not know the colors the
teacher can point to the color.

13. Circle a shape below the red shape.


14. Circle a shape under the green shape.
15. Circle a shape above the white shape.
16. Circle a shape over the purple shape.

17. Using your pencil circle the correct word. Is the duck in our out of the
box? The first word is in and the second word is out.
18. Circle the animal that is on the right.

19. Circle the pencil that is shorter.


20. The pencils are straight or curved? Circle the correct response. The
first word is straight. The second word is curved.
Test for students needing the accommodations

Name:

The teacher will read each question to the student separately, using the
same set of pictures below.

1. Can you point to the circle?

2. Can you point to the square?

3. Can you point to the rectangle?


4. Can you point to the triangle?

The teacher will read each question to the student separately, using the
same set of pictures above.
5. Can you point to the color red?

6. Can you point to the color orange?

7. Can you point to the color blue?


8. Can you point to the color purple?

9. Can you point to the color black?

10. Can you point to the color white?

11. Can you point to the color yellow?


12. Can you point to the color green?
At this point, if students do not know the colors the teacher can point to the
color.

13. Circle a shape below the red shape.


14. Circle a shape under the green shape.
15. Circle a shape above the white shape.
16. Circle a shape over the purple shape.
17. Using your pencil circle the correct word. Is the duck in our out of the
box? The first word is in and the second word is out.

18. Circle the animal that is on the right.


19. Circle the pencil that is shorter.

20. The pencils are straight or curved? Circle the correct response. The
first word is straight. The second word is curved.

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