Assessment

Age 7-12
Child Profile

Client ID:      

Name:      
Gender:      
Address:      
Grade:      
Date Tested:      
Age at Assessment     
I. Rapid Automatic Naming

1. Letters: A D S L R

2. Digits: 2 4 6 7 9

3. Objects:

4. Colors:

No of Correct responses (WSC):      / 30

II. Phonological Awareness

 Phoneme Blending

What word would I have if I put together:

Example: /c/ /u/ /t/ gives (cut)

1. /t/ /a/ /p/ (tap) ☐ Correct ☐ Incorrect

2. /l/ /i/ /d/ (lid) ☐ Correct ☐ Incorrect
 3. /p/ /e/ /n/ (pen) ☐ Correct ☐ Incorrect

4. /j/ /o/ /g/ (jog) ☐ Correct ☐ Incorrect

5. /w/ /a/ /v/ (wave) ☐ Correct ☐ Incorrect

Number of Correct Responses:       /5

Recording:

Indicate correct responses with a check (√). If the child gives an incorrect response, write that response.
If the child gives only a sound, write the letter that sound represents between two slash marks; for, /r/.
Write (•) if the child cannot or will not give a response.

Discontinue:

Discontinue testing if the child misses three consecutive items or appears confused or frustrated.

 Phoneme Segmentation

Example: “cut” is segmented into /c/ /u/ /t/

What is the sound you hear first? The sound you hear next? The sound you hear last?

1. pat ( /p/ /a/ /t/ ) ☐ Correct ☐ Incorrect

2. sock ( /s/ /o/ /k/ ) ☐ Correct ☐ Incorrect

3. lip ( /l/ /i/ /p/ ) ☐ Correct ☐ Incorrect

4. mean ( /m/ /e/ /n/ ) ☐ Correct ☐ Incorrect

5. joke ( /j/ /o/ /k/ ) ☐ Correct ☐ Incorrect

Number of Correct Responses:       /5

III. Word Reading

 Single word recognition (up to age 9)

Level 1: (age 7-9):

1. to ☐ Correct ☐ Incorrect
2. is ☐ Correct ☐ Incorrect

3. up ☐ Correct ☐ Incorrect

4. at ☐ Correct ☐ Incorrect
 5. sun ☐ Correct ☐ Incorrect

6. one ☐ Correct ☐ Incorrect

7. some ☐ Correct ☐ Incorrect

8. went ☐ Correct ☐ Incorrect

9. things ☐ Correct ☐ Incorrect

10. told ☐ Correct ☐ Incorrect

Number of Correct Responses:       /10

Level 2: (age 9-12):

1. nurse ☐ Correct ☐ Incorrect

2. carry ☐ Correct ☐ Incorrect

3. quickly ☐ Correct ☐ Incorrect

4. village ☐ Correct ☐ Incorrect

5. beware ☐ Correct ☐ Incorrect

6. domineer ☐ Correct ☐ Incorrect

7. nourishment ☐ Correct ☐ Incorrect

8. commenced ☐ Correct ☐ Incorrect

9. overwhelmed ☐ Correct ☐ Incorrect

10. philosopher ☐ Correct ☐ Incorrect

Number of Correct Responses:       /10

 Pseudo word reading

Level 1: (age 7-9):

1. lat ☐ Correct ☐ Incorrect

2. ped ☐ Correct ☐ Incorrect

3. sib ☐ Correct ☐ Incorrect

4. mog ☐ Correct ☐ Incorrect

5. vun ☐ Correct ☐ Incorrect

 Number of Correct Responses:       /5

Level 2: (age 9-12):

1. rigfap ☐ Correct ☐ Incorrect

2. churbit ☐ Correct ☐ Incorrect

3. napsate ☐ Correct ☐ Incorrect

4. reatloid ☐ Correct ☐ Incorrect

5. foutray ☐ Correct ☐ Incorrect

Number of Correct Responses:       /5

IV. Oral Reading fluency

My Soccer Team No. of

words
I am so happy! I just found out I can be on the soccer team. 15
We have our first practice on Saturday. We practice at my school right after lunch. 30
Our team is called the Blue Bombers. Our colors are blue and white so I get to wear blue shorts 56
and a blue and white shirt.
The number on my shirt is seven. I’m seven years old, too. I think seven must be my lucky 20
number.
We play our first game next week on Saturday. I can’t wait to play. 14
My dad said if I practice a lot I will do well at the games. My dad is going to practice with me 24
tonight.
Right after dinner my dad is going to take me to the store to buy some soccer shoes and a 22
soccer ball.
Then we will play on the grass by my school. 10
My dad will help me to kick the ball and to run fast and kick the ball at the same time. 21
I am so excited I don’t think I will get to sleep tonight. 13
I need to sleep so that I can be rested and strong for my soccer practice. 16

Total words:       – Errors:       = Words correct:      

V. Text Reading (age 7 - 12)
Directions: On the following pages are passages and multiple-choice questions meant to test reading
comprehension. Each question will ask you to select an answer from among four choices. For all
questions:
 Read each passage. Then answer each question carefully by choosing the best answer.
 Mark your answers for ALL of the questions.

Remember only one of the choices provided is the correct answer.

Part of the Family

We were all so excited to learn that Mom was going to let us adopt and add a new member to
our family! My brother, my two sisters, and I had worked for weeks to convince Mom that we were
responsible enough to have a new puppy, a dog. Many days after school I had visited the library and
researched puppy training, the proper feeding of a puppy, how to socialize a new puppy, and even the
meanings of names one might choose for a puppy. All of us had selected certain jobs that would need to
be performed if we were lucky enough to convince Mom to get a puppy. In order to prove to Mom that
she would not be the only person taking care of our new family member, we had divided the jobs among
us and created a chart for the first month. Finally, after several weeks of cajoling and wheedling, all our
hard work and extra effort had been successful. Mom gave in to our pleas and agreed to let us adopt a
puppy!

Now the real work would begin. We decided to visit the Humane Society in order to select just
the right puppy to join our family. Of course, once we saw all the puppies and dogs available, none of us
could decide on only one. Each little face had its own special charm. Who could resist those big brown
eyes? All the puppies were so thrilled we were visiting them, but each was unaware that just one would
be leaving with us. They jumped, they yipped, they wagged their tails as if each had a motor attached.
They joyfully licked every bare inch of skin we had. How would we ever decide?

As we strolled through the aisles of kennels, I noticed one little bundle of fur. He sat off to the
side of the temporary home he shared with three other rambunctious puppies. He quietly watched as
his unruly housemates tried to be the most outgoing, the cutest, and the perfect pet for us by showing
their enthusiasm. As I walked closer to his corner, he peered at me and smiled a crooked puppy grin. His
tail wagged his entire body. He tentatively jumped up to greet me with a playful lap of his tongue and I
noticed his lopsided ears. One ear stood up just a little straighter than the other, giving the impression
he was listening quite closely to the words I was saying.

“Hi there, little buddy. What do you think?” I kind of cooed to him. He seemed to know it didn’t
matter that he was the smallest and the most reserved of the boisterous group of puppies occupying the
kennel. I motioned for my siblings to join me at the corner and introduced them to “Buddy.”

“This is him, this is Buddy! He needs us, I can tell,” I explained to my brother and sisters.

7 “I don’t know, he is so tiny and kind of funny looking,” my youngest sister observed.

“He has character,” I explained, feeling rather defensive of Buddy. He was not funny looking, he
was unique! “Look in his eyes. He knows what you are saying and his feelings are hurt!”
 My sister looked at the little bundle of fur with the big eyes and the uneven ears. She reached
out her hand, and Buddy gave her a lick. “I’m sorry, Buddy, I didn’t mean to hurt your feelings,” she said.
She looked as if she might cry. “You’re right! Buddy has character.”

Mom joined our little group and introduced herself to our new friend. “Okay, Buddy, I guess
you’re it! Do you want to come home with us?”

As I watched the little dog’s reaction to her words, I could tell he understood. He again cocked
his head to one side and flashed us his crooked puppy smile as if to say he knew he was part of the
family.

Questions:

1. What evidence shows the children are prepared for a puppy?

A. They research puppy training and care.
B. They beg and plead with their mother.
C. They get jobs to raise money to buy the dog.
D. They research personalities of different breeds.

☐ Correct ☐ Incorrect

2. In paragraph 7, the author is described as feeling defensive of Buddy. What is the meaning of the
word defensive?
A. wanting to capture Buddy
B. wanting to tease Buddy
C. wanting to protect Buddy
D. wanting to admire Buddy

☐ Correct ☐ Incorrect

3. What is the little dog’s reaction to Mom’s words, “Okay, Buddy, I guess you’re it”?
A. He gives a playful lap of his tongue.
B. He jumps up to greet the narrator.
C. He cocks his head to one side and flashes a smile.
D. He makes one ear stand up straighter.

☐ Correct ☐ Incorrect

4. What is the main idea of the story?

A. following the process of adopting a new puppy
B. researching the responsibilities of caring for a puppy
C. convincing Mom to allow the adoption of a new puppy
D. determining the criteria for selecting a new puppy

☐ Correct ☐ Incorrect

Number of Correct Responses:       /4

 Times taken:      

III. Writing

1. Skill 1: writing expression

A. Copying task

1. She sat next to me on the bus. WSC:      /8

2. My mother gave me some candies. WSC:      /6

3. Tomorrow I will go swimming. WSC:      /5

4. Grandma will cook lunch for me. WSC:      /6

5. Dad and I went to the market today. WSC:      /8

Total Words Spelled Correctly (WSC):      /33

Times taken:      

B. Dictation
 Word Dictation

My dad told me t old me to clean my room

My dad told me to clean my room. The next day I came home from school. It was a mess. My mom told
my brother to clean the room. I had to make my bed. That’s all. I got to have as much fun as I wanted.

Words Spelled Correctly (WSC):      /5

Times taken:      

A. Free writing

Topic:

Suppose some students want to have mobile phones at your school. Your school, however, thinks that
students should not have mobile phones at the school. What do you think about having mobile phones
in school? Write a letter to convince the principal that mobile phones should be allowed at your school.

Scoring:
1. Total Words Written (TWW):      
2. Total Words Spelled Correctly (WSC):      / TWW

3. Ideas Established:
 ☐ Poor ☐ Fair ☐ Good ☐ Very Good

4. Writing Organization

☐ Poor ☐ Fair ☐ Good ☐ Very Good

2. Writing Legibility
1. Appropriate letter size for child age ☐ Poor ☐ Average ☐ Good ☐ VG

2. Regularity in letter size ☐ Poor ☐ Average ☐ Good ☐ VG

3. Appropriate size left margin ☐ Poor ☐ Average ☐ Good ☐ VG

4. Word Alignment ☐ Poor ☐ Average ☐ Good ☐ VG

5. Appropriate word spacing ☐ Poor ☐ Average ☐ Good ☐ VG

6. Regularity in joining letters ☐ Poor ☐ Average ☐ Good ☐ VG

7. Keeping letters intact (no distortion) ☐ Poor ☐ Average ☐ Good ☐ VG

8. Clarity of letter forms (no ambiguity) ☐ Poor ☐ Average ☐ Good ☐ VG

9. Steadiness of writing trace ☐ Poor ☐ Average ☐ Good ☐ VG

10. Keeping line ☐ Poor ☐ Average ☐ Good ☐ VG

Overall result: ☐ Normal ☐ Mild ☐ Moderate ☐ Severe

IV. Auditory Working Memory

An assessment procedure for specialist teachers to investigate verbal memory difficulties in children’s
learning. Both parts are administered.

Digits forwards

Start Item A

Finish Failure on both trials of a pair.

Directions “Listen carefully as I say some numbers. When I finish, you say them.”

Delivery Digits should be given at the rate of one per second. Administer both trials of each item.
Recite digits in an even monotone without any variation in pitch of voice.

Scoring The individual’s score is the total number of items correctly repeated forwards.
EXAMPLE Forward

254 254

1. 43
2. 792

3. 5941

4. 93872

5. 152649

6. 3745261

7. 82973546

8. 246937185

9. 8297354654

10. 08236351487

No of Correct responses (WSC):      / 10

Time taken:      

EXAMPLE Backward

123 321

Questions Answer

1. 43 34
2. 792 297

3. 5941 1495

4. 93872 27839

5. 152649 946251

6. 3745261 1625473

No of Correct responses (WSC):      / 6

Time taken:      

 Short Term Memory Test - Pictures
Tell me/ Write down the words of all the pictures you can remember.

Then click on the "See Picture" button to see all of the objects. [See the Picture again]

Answer:

1. Butterfly
2. Pencil

3. Ice-cream

4. Rainbow
5. House

6. Chair

7. Clock

8. Phone

9. Playing toy

10. Key

11. Scissors

12. Guitar

13. Lamp

14. Airplane

15. Computer

16. Tomato

17. Globe

18. Flower

19. Hammer

20. Cake

No of Correct responses (WSC):      / 20

Time taken: