Individual Progress Summary6 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Language Development Always Frequently Sometimes

Rarely

1. Is quieted by music.2. Is quieted by human voice.3. Looks at pictures in books.4. Produces a range of vocalizations (coos, babbles)5. Produces a variety of facial expressions.6. Uses sound play when playing alone or with others.7. Vocalizes to caregivers using talking and playful gestures.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Brings hands to mouth.2. Elevates self by arms while lying on stomach.3. Holds head up and lowers it while lying on stomach.4. Sits up with support.5. Rolls from back to side.6. Reaches with both hands (independently).7. Attempts to hold object using whole hand and fingers.8. Supports weight while standing.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Eyes follow moving object from left to right and up and down.2. Bangs toys in play.3. Participates in/enjoys social games (peek-a-boo, pat-a-cake)4. Smiles at caregivers.5. Recognizes familiar people.6. Enjoys looking at self in mirror.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary12 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Uncovers unhidden objects2. Looks for fallen object that was within view when it fell.3. Imitates a familiar gesture or action of an adult.4. Bangs 2 objects together or rings bell purposely.5. Takes objects out of container or off shelf.6. Pulls a string to get an object or toy.7. Drops one of two objects to receive a third one.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Gives object on request when word is paired with a gesture.2. Attends to conversation for noticeable periods of time.3. Imitates hand waving when adult waves “bye-bye.”4. Responds appropriately to “no-no” or “hot.”5. Attends to pictures for approximately 30 seconds while named.6. Recognizes words spoken for common objects/persons.7. Stops an activity briefly when name is called.8. Follows simple directions.9. Babbles with a variety of consonant like sounds (p, b, m, d).10. Takes turns vocalizing with other children or adult.11. Uses gestures/vocalizations intentionally to engage, regulate, and reference joint attention.12. Indicates wants by vocalizing other than crying.13. Imitates the names of some objects (ball).Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Sits alone with no support.2. Sits steady and can rotate to pick up toys.3. Pulls self to a standing position.4. Sits down independently from standing.5. Rolls a large ball.6. Walks with help.7. Transfer objects from one hand to the other.8. Removes pegs from a peg board.9. Turn a few pages in a board book.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Imitates games such as Peek-a-boo or Pat-a-Cake.2. Responds playfully to mirror – pats image.3. Forms bonds with particular people in classroom.4. Demonstrates joint attention with adult to items of interest.5. Gestures to be picked up.6. Offers a toy then releases it.7. Exchanges/imitates gestures with an adult.8. Smiles and laughs during games.9. Helps pull off simple clothing (socks, shirt)Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary18 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Imitates simple actions (stirring with spoon).2. Puts objects into a container and takes out of container.3. Unwraps a loosely wrapped toy.4. Places one piece in a puzzle.5. Matches objects.6. Stacks rings (not necessarily in order).7. Looks for a familiar object in the room.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Responds to own name.2. Understands simple commands (go get your...).3. Shows a piece of clothing upon request.4. Shows a toy on request.5. Waves bye-bye on request.6. Identifies 2 objects from a group of familiar objects.7. Points to 3 body parts.8. Uses adult like intonation patterns.9. Imitates animal sounds.10. Uses mostly jargon and repetitive phrases to communicate.11. Verbally labels 2 or more objects upon request.12. Uses 5 or more words spontaneously.13. Requests “more” of desired items.

Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Demonstrates finger grasping of smaller objects (cheerios).2. Walks alone.3. Walks up and down stairs with help.4. Stoops and returns to a standing position.5. Throws a ball.6. Uses a spoon with some spilling.7. Points with index finger.8. Uses both hands at midline.9. Moves to music.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Begins to show moods.2. Repeats a performance when laughed at.3. Imitates an activity of daily living.4. Wants an adult to perform if he is unable to do it.5. Engages in parallel play.6. Usually waits for needs to be met.7. Imitates other children.8. Smiles and laughs during games. Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary24 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Understands symbolic play; uses one object as if another.2. Demonstrates use of tools to solve problems.3. Matches pictures to real objects.4. Completes a 1-3 piece puzzle or form board.5. Completes nesting cups successfully.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Follows 2 step directions.2. Points to 5 or more pictures from a group when named.3. Responds appropriately to some yes/no questions (headshake).4. Points to 5 body parts. 5. Sings some words to songs.6. Names 2 or more body parts.7. Names pictures of familiar persons/objects.8. Has a vocabulary of 20 or more words.9. Uses words more frequently than jargon.10. Expands use of single words to express action, protest, location, description.11. Combines noun and verbs (Mommy go)12. Says 2 words sentences.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Walks upstairs alone with both feet on each step.2. Goes down stairs holding rail.3. Maintains balance while running.4. Squats from a standing position.5. Kicks a ball.6. Strings large beads.7. Tears paper using an emerging pincer grasp.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Actively helps dress/undress self.2. Participates in rough and tumble play.3. Responds to familiar situations.4. Looks for or recognizes a friend.5. Follows another child’s actions or movements.6. Interacts with other children.7. Shows many emotions.8. Has well developed concept of “mine.”9. Recognizes picture of self.10. Washes and dries hands with help.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary2 ½ years or 30 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Completes easy shape or picture puzzles.2. Builds a 2-4 block train or 3-6 block tower.3. Sorts toys for play.4. Releases toy car on incline.5. Removes lid from box or jar.6. Scribble and drawing emerge as one.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Identifies friends or relatives when they are named.2. Identifies common function of objects (drink out of, sit on).3. Comprehends the concept of “one.”4. Understands simple “where” questions (where’s the ball?).5. Gives first name on request.6. Recites portions of nursery rhymes or songs.7. Uses pronouns (I, my, mine).8. Uses 3 word sentences.9. Speech is 50-75% clear.10. Asks 1-2 word questions.11. Answers easy “what, how, where” questions.12. Uses 50 or more words.

Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Pulls off own socks and shoes (gets dressed with help.)2. Walks up and down stairs independently.3. Jumps in place with both feet.4. Catches a large ball thrown from a close distance.5. Begins to snip with safe scissors.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Separates without a tantrum.2. Offers object without wanting it back.3. Is able to wait a few minutes for gratification.4. Dramatizes adult activities.5. Is assertive, resists or persists.6. Participates in story telling/repetitive phrases interactively.7. Follows turntaking routines given assistance.8. Dries own hands after washing.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary3 years or 36 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Completes easy shape or picture puzzles.2. Builds a 2-4 block train or 3-6 block tower.3. Sorts toys for play.4. Releases toy car on incline.5. Removes lid from box or jar.6. Scribble and drawing emerge as one.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Identifies friends or relatives when they are named.2. Identifies common function of objects (drink out of, sit on).3. Comprehends the concept of “one.”4. Understands simple “where” questions (where’s the ball?).5. Gives first name on request.6. Recites portions of nursery rhymes or songs.7. Uses pronouns (I, my, mine).8. Uses 3 word sentences.9. Speech is 50-75% clear.10. Asks 1-2 word questions.

11. Answers easy “what, how, where” questions.12. Uses 50 or more words.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Pulls off own socks and shoes (gets dressed with help.)2. Walks up and down stairs independently.3. Jumps in place with both feet.4. Catches a large ball thrown from a close distance.5. Begins to snip with safe scissors.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Separates without a tantrum.2. Offers object without wanting it back.3. Is able to wait a few minutes for gratification.4. Dramatizes adult activities.5. Is assertive, resists or persists.6. Participates in story telling/repetitive phrases interactively.7. Follows turntaking routines given assistance.8. Dries own hands after washing.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary3 ½ years or 42 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Anticipates consequences.2. Sorts objects by color and size.3. Comprehends concepts of “same” and “different.”4. Talks about what they see in books – shows interest in content.5. Counts 1- 5.6. Points to circle, triangle, square.7. Names circle, triangle, square.8. Names 1-2 colors.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Answers questions “who, what, when, where”2. Follows instructions with in, out, under, over, beside. 3. Asks “how, what” and “when” questions.4. Follows 2-3 step directions.5. Plays with words (as in silly rhymes) and knows some rhymes.

6. Remembers words to many songs.7. Reads book from left to right (beginning to end).8. Talk about their scribbles and drawings when asked.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Runs, jumps, and climbs.2. Catches various sizes of balls.3. Uses pedals riding tricycle – steers to avoid obstacles.4. Gallops, runs, dances to music.5. Increased control of fingers (picks up small objects, writes)6. Holds scissors appropriately.7. Controls a pencil.8. Copies a circle from a picture of a circle.9. Builds a tower of 9 small blocks.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Shares toys.2. Acts friendly and agreeable to peers.3. Cooperates in cleanup, helping out.4. Indicates fits of anger.5. Is becoming more independent.6. Washes and dries own hands.7. Dresses and undresses self.8. Returns from playground when asked.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary4 years or 48 months

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Understands “behind,” “beside,” “in front.”2. Name three different shapes.3. Recognize at least 5 colors.4. Name at least 3 colors.5. Can imitate a simple pattern.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Understands “either” and “or”2. Answers “what do you do when?”3. Uses complete sentences.4. Uses slang.5. Recognizes at least one letter in name.6. Identifies sounds that go with letters (at least one)

7. Reads books from left to right.8. Repeats rhymes, songs, or dances.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Draws a representational picture (house, man, etc.)2. Cuts simple shapes.3. Plays catch and throw with a ball.4. Holds a pencil appropriately with a good grip.5. Eats with fork and/or spoon.6. Fasten buttons well.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Cooperates in group games, following rules.2. Initiates and has conversation with peers and adults.3. Works independently for 5 or more minutes.4. Takes turns with other children.5. Helps self with bathroom needs.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________

Individual Progress Summary4 ½ years and 5 years

Name of Child ___________________ Date of Assessment______________

Date of Birth ____________________ Teacher _______________________

Cognitive Development Always Frequently Sometimes

Rarely

1. Understands “first,” “last,” “middle.”2. Draws a person with a head, trunk, 2 legs, 2 arms.3. Names colors of objects.4. Tells when, during the day, certain events occur.5. Counts 1-10 (rote)6. Counts 1-5 meaningfully (objects).7. Identifies some numerals.8. Understands and creates patterns.Additional Comments:

Language Development Always Frequently Sometimes

Rarely

1. Identifies some letters.2. Names rhyming words.3. Can match some sounds that go with letters.4. Tell a familiar story.5. Tell what some words mean.6. Can tell a story with correct sequence.7. Recognizes some words in print.8. Points to words as they read them.9. Identifies sounds that go with letters.Additional Comments:

Motor Development Always Frequently Sometimes

Rarely

1. Cuts along a curved line.2. Copies a cross and a square.3. Hop on one foot at least 5 times.4. Draw some simple things we recognize.5. Print a few letters.6. Writes own name – but not clearly.Additional Comments:

Personal and Social Development Always Frequently Sometimes Rarely1. Uses words to let feelings be known (sad, angry, happy).2. Verbalizes an option to aggressive reactions.3. Dresses and undresses self.4. Is aware of personal space and keeps his body in own space.5. Do well in small groups of three or four.6. Say “I’m sorry” to others.Additional Comments:

Parent’s Signature___________________________________ Date _______________(Comments if any):

Teacher’s Signature___________________________________ Date_______________