plus - eric · 2014. 2. 3. · this document has seen repro duced exactly as received from the...
TRANSCRIPT
,c_
ED 144 277-
DOCUNENT iESOME ,
,TITLE Casis Teacher Checklist: 0-4 Years.INSTITUTION /Austin Independent ..chool District, Tex. ' y .
_ SPONS: AGENCY Of fi ceco.of Education' (DREW) , Washington, D. C.PUB DATE , . 76
.
NOTE 110p.; For .rellted information, see EC 102 210 - PC102 221
EC, 102 213
EDRS PRICE.
MF7$0.83 HC-46.01 Plus Postage.,
DESCRIPTORS Basic Skillsr *Behavior Rating Scales; *Check Lists;.*EArly Childhood Education; *Handicapped Children;
. Infancy; Interpersonal Competence; Language kills;.f. .%. Not6r Development ; Perceptual. Development; P
Edueatiop; Self Care Skills41*Student EvaluationIDENTIFIERS *Austin Early Childhood Special Education Program
ABSTRACT .. Presented is a checklist developed by the Austin
Early 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.-
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.* materials not available from other sources. 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
A
U S DEPARTM OF HEALTH.EDUCATION a, LFARENATIONAL INSTIT TE OF
EDUCATION.
THIS DOCUMENT HAS SEEN REPRODUCED EXACTLY AS RECEIVED FROMTHE PERSON OR ORGANIZATION OR IGINATING IT POINTS OF VIEW OR OPINIONSSTATED 00 NOT NECESSARILY REPRE'SENT C*FICIAL NATIONAL IN&TiTUTE OFEDUCATION POSITION OR POLICY
The Auitin Early Childhood-Special Education Program
c..1rs TEACHER CHECKLIST
0-4 YEARS
Outreach ProjectAudtin Eaily Childhood Special Education
Austin Independent School. District
Fall, 197Q
Project Super'VisorMillie.Stokes
,2710 Exposition Blvd,Austin, Texas 78703
'PERMISSION TO REPFIOQUCE THISMATERIAL HAS BEEN GRANTED BY
Millie Stokes
TO THE EDUCATIONAL RESOURCESINFORMATION CENTER (ERIC) ANDTHE ERIC SYSTEM CONTRACTORS"
26
t.;
O
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S
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40.
Table of Contents
General Instructions 2
CaAs Teacher Checklist 4
PepCeptual Skill§ .......
Mdtor Skills 10
SNEf-Help.Skills 21
Socil and .Emotional 4ki116d.
30 e
Language Skills 40
Pre-Adademid-.Skills. --;--4
Profile Sheet.
-
3p
.
4
2
-
o
/4
CASIS.TEACHER CHECKLIST
*
-4 Scale
Developed by the Early Childhood Special
Lyma9. Hunter, Educationa DiagnosticianPat Korf, Occupational TherapistKitty Malone, Teacher
Markley,arkley, Speech Therapist_
7
Peter L. Jennings, Planning
Education, .
Assessment Committee
Linda McDOnafa, TeacheJanet Ohlenbusch, Associate PsychologistLinda Perrin, Teacher.Jamie Tucker, Teacher
t
and Evaluation Cons4tant.
Austin Early Childhood Special'Education Program-,
Jaasis Eremeritary drool .
,
Austin Independent:Schobl District 9
,
1974
a
OvervieW
ess
C
#.
The casis "reacher Checi?Iiit,
been -cirgallizd'into six sections; preibacademc,.
1
'General Instructions
CTC, has
perceptual,: motor, self-help, social-emotional,
, 0
and.langUage skills. This checklist is pciarily
aesianed -Thto assist teacher in .deermintr6 a. .
. i**
<
child's'leveI of functioning and to help her inz .
.---,.
.I
',4"il;TI gzFRPD.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 instructions
fpeadMiniste'rinv- each of the scales. Materials'. , *'
equiliMen-t, needed.for many-A0 of the items on
_ .
each. l e 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 . -
,1
Io
begins. Each item whiCh r. quires
.
teacher7made equipment Irid.materials_
will be marked with an aAerisk"in the
Iinstructions.' A list-of materials
needed for each.section is included at.
the beginning of that sedtion
Time RequirementsP
\
It is eXpected that the entire
checkli'St.can be administered in less
-than 2 hours tittle. Aft is not'neceirary,*
tor--aadess a"child.coMpletely in oneday,.
hOweVek anlesection 14-gun on a*given
A-
day should be completed that day.
A
t.
, .. ..
, s
.-- (' .
.Rules of Administration, Assessors: -1IOnly teachers should. ____i
k.
Starting: The teacher,shouldchobse the instru- administer the CTC. The teacher who begins
ment (either 0-4 or4=7) She' feels is most
appropriate for th0 child she is assessing. If..
.there is doubt about whether a child is functioning la classroom, should as'se'ss every child..,
e 1. .\ . .
'
between 4 a4d 7 years, the teacher.should begin with Observation:. Items requiring teacher
the a-4 scieti',.sobse.rvation should be scored as .represent-.
AA.
(LUneven Functioning: if th6..
child functions between ingthe child's typical production.orper-I
.i 4
...- ,,
4 and 7 years in some areas but not In others, take. formance,not an extreme performance,
those sectipnS from th'e 0-4 scale that are appropri-.. Recoardinq Responses: 1) Criteria for
A 1/.ate and*subititute them.fOr the comparable 4--i_scale scoring
II
yes.4
will be given in the instruction.
SI'sections:\ SimilarY if the childfunction§ below 4, manual: 2) Score4emeiging leh never the
_.'years-in most areas tut not in others take those child gives a response Which Qartly meets-
sections from the '4- that are appropriate, and the criteria. 3)-I
NOte chara teri:§-tics of-
% 44 -add them to the comparable 0-4 scale sections. . -"emer,ging yes64
responses in:the- comments4 . \ f
Stopping:- The'feacher should istop 11 a section when n'.
sectio.,
. . .
.
a particularsection should complete that
section herself, ,however, both teaehers in
the child receivesa"tio"on five consecutive items
in that section.
A
0-4 Scal6
cp,sis TEACHER CHECKLIST
a5.
, . .
Name Sdctions , OAte of .Coinpletion(last) ,. (`first) , Pre Post
Sex,
tarthdate
Address
M-05Perceptual
Mdtor
Self.-Help
0 a-Telephone
<,pSocial Emotional
School
'Examineg('s)/
.
s
05,
11*
-4-
Language
,Pre-Academic
s
.
4-
1
,ItemNo.
'Os
Pesceptual Skills Materials LiSt (0=4)
twoeach: spoons, blocks, 1
single=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; card hoWing "0":.
97... flannel shapes (all same Cblor) 2 each:triangle, circ1,--,square,star, heart
11. 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 done
at a table)
1.. 'informally assess (with both task and° people)..
2. The teacher has sets 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 one
tke objects and asks -child toliri.nd one like Yes -.74. of 3
4
3,- Child copies 1, 2 and, 3 table taps.'dpne by teachor using a steady rhythms a.
it"1 secOhd intervals. Childf.shOUldnot see *teacher do her taps. ,' Use. a
poster board as a screen. YeSa= 3 of
0 -4
4. Arlov 5. minute maximum.
I
Use shape sorter,' Allow
'6. AlioW 3 minutes maximum.
4
O rIt*
.1,8. The teacher gives the child a place of4 paper and a large pencil. Then,- she shows
the 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 triangles,circles, squares, stars4 and hearts ofthe same' color flannel. Qne set is onthe .table in front Of the 'child. The otherset i on a, felt board., The. teaoherpoin rto one of the shapeS% and asks'the.child to find one like it. Yes = 5 of 5
10.. Practice with Then 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 he page, end . 12,
asks the chill to make :one. likQit.Repeat for a horizontal 'line. Attach,the child' s' work. -.
-1:,, '' 4t,.13
11;. The teacher will present the following ---in the sequehCe 9f:
cup, l'lcube, scissor s
Let the child° look at them for 5 seconds..RemOVe them'and then ask the chig.d to.reproduce-the sequence':-'Yes ,= 1 out of 2
Item
CASIg TEACHER CHECKLIST {0-4):
PERCEPTUkt.SlatiLSA'
1. Mikes eye contact (9 mOsiv So r
-:Matches idpnticgl objects (18 Mos),4
,
ates-table taps,(3 yrs);
4 :Is able to doa single 'piece puzzle(four piece form b;'`ard) .(3 yrs)
Fall Springlb' Yes- No Emerq. Yez--N2 Emerq.
I
5. . Is able to place l_astid pr wooden,shapes) into designated slot. (3 yrg)
6. Builds a lock.design of 3 blockson card that teacher giVes him A3 yrs)
.7 Imitatesland (3 yrs),
.. ...FlCopies 0 (3 yrs)
w.
9. Matches fgrms'(4 Ih's6
10. Rt4teat9 a series of,3 random digitscorrectly (4 yrs)
11> Reproduces sequence of 3-objects seen.... ,,,
cI,for 5 seconds (4 yrs),
. si,*
. ,.
. .
12. Rats-together ajdurzpiece puzzle(4 yrs) %
.....
15
e.
...
-7-
Comments
c'r ^
4
0
a
16
f`Item
t.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. -:-
111
d.
Oa*
-8-
0-4
C
'
e
: .
CASIS TEACHER CHECKLIST (C)-4)
Fall Spring....:Yes No
, 4 ,
PERCEPTUAL SKILLS-CONTID , ,
. .
. .
.
r
.
.
-
-.
...
,
..
.:
13, es apartontessori
14. &pies a +
.
and replace's thecylinder's (4 yrs)
-.
C4 yrs).
.
.
-
1$'.
y
A
,
0
-9--
s .
19
. Motor Skills Materials List (0-4 Scale)
Item ,No..
17. largebarrel
18. toy
20. toy
46. 12" ball
47. 1" beads andIstring
48.- stain
21. .tor 52. 12"' ball
24. toy
. 25. 1" ball or block'
26. crayon or ClothespinN
27. toy
33,' toy
37. stairs
38. coffee can or bok with lid
39. book,
'40. paper; crayons
41'. 1" cube blocks
stairs
20
t%
53. tricycle
J.54. small jar with lid
55. 1" cube blocks
56. book
57. Crayon or pencil
58. .large ladder ,
59. stairs. .
61. masking tape
62. swing
64. lu cube blocks 4;
65. papeti crayons,
66. construction' paper; scissors_, ...
. , _10.. -. . .
, .
4
21.°
O
Item InstructionsNo.
MOTOR SKILLS
15. Have child lie on- his back, take his
o
hand 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't feznot he pUts hiss-hAnds outtoto catch himself:,
a-
,#r
4%6 4-,,
1. "teSts.sby 'aving hild'follow brightly1 color0 object which.teacher holds,
T!IQVIIW, in fronts of eyes, (head shouldbe still) . IE-.child,insists-on movinghead, test With child lying down 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 ..,
e
19. 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.
4
Child-holds somethingomething and/orsomeone is holding onto_himi°but,he ..-supports hi own,weight
23. Obser child ,craWlinask child .to
crawl Like g dog A,demonstrate -poSItionhe, is to-assume;
. , _
°r11 ,a
%
24: "'Have de6 frOble toy at arm's length, fromchild andtell iM to get the toy. He
:,' should t(e able" oreAch-AnS-grasp the- toy.
-25: I Give the,Ich'''Fits ii to;
4 4't,',ransferri1r
child in' lay.
*a'1P-ball or block-.:-which-,,
hand easily. Demonsrate':from one hand to lathe :oth
to d1;it, or obserme the
e)
O
l
2.3
ItemNo. Item
.
CAgIS'TEACHEF CHECKLIST ' (0-4)
Fall Spring-
° Yes No Emerq. Yes No Etherq. Comments....
. .
. ) S.
..MOTOR 'SKILLS .
, .
,
.
-i
.,
A ..,.
,.15. When pulled to sitting there is no .,
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 to\catch self if falling . 4 ' .-.o.'1(6 mos) . \
. /14 ,
1... t .... .18. Can hold' chest and head up.when lying on .,
.
., r
....stomachand'supported by fdrearms.(6 mOsi .. 1,,
...
,i,,..,,,: % .
.
,
.19. Crawls On-stomach pulliDg with Arms, , .
.
,.
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, reaches and 'grasps (9 mos) .
,,
,----7-. I9, 9
1C< .Transfers toys- one hand to, the ... ,
otirer (9 mos) 4- ' 1 ,
. '. ..
. .. e .-
25... .- . -
12 7
4
0-4-
Item-
No. Instructions
MOTOR SKILLS
Offer 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 .
6
27. Have interesting toy for child-to atch-or-play with fora minute then rem the 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 feet ositiOn-rather than hands and knes.
o
,4
33. When Asked-to give you a toy, child canopen'his hand and drop toy into your 'ex-tended hand. (Do both hAnds)
34.
-2i
ti
,11,
36. Child still very unsteady and walkswith feet about 12" apart.
111
r
3
1
27
ItemNo.: 'Item
CASZS TEACHER CHECKLIST (0-4)
Spring ,
Yes No Emerg, Yes No Emerq.Fall
VOMments'
_MOTOR SKILLS. coNT'D.
e ' .
26. Uses sc?.ssor grasp (side-QS thumb andside' of index finger)* (9 coos)
27. Follows toy, and looks for toy 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 (without any help)(1 yr) -
30. Pulls self to,,standirig (1 yr)
31. Creep3,ng iswell coordinated and(1 irr)-
rapid
32 Wails with hand held .or may.tae 1-2steps aldne (1 yr)
33. Purosetrully releases fn object (1 yr)
34. iAA e-stabding.pothitionTwithoutsuppo'r-S throughjrailk rotation (18 mos)
35. C. iMbs into adult chair'(18 mos)
.,
.,.
(.
36. Walk's independently, toddler--'wide basegait (18 mos) - .
a.
28714,
29
-15
0-4
Item :instructionsNo.
MOTOR SKILLS
37. .Crawls up and down stairs or g es upand down in a.sitting positio
38. 'Opens thirigmlike coffee can or boxif lid is not:too tight.
Afse a child's-1-40_1:4R., not a 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 you or chase himObserve running.
44. Demonstrate Walking frontwards and.backwards:q
i'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 untofurnitgre.,7
4(
46
47
f
ItemNo. Item,
CASTS TEACHER CHECKLIST (0-4) -
MOTOR SKILLS CONT'
37. Goes up and down'stairs on all fours(18 mos)
Fall SpringYes No Emerq. Yes No Emerq.
c N,
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)
e 45.. Rises to standing from kneelingposition without support (24 mos)
46. Throws and kicks. - nodistance {24 mos)
47. Strings' 1' beads '(24 mos)
4
I
4
Comments
.019 #
-16-32
Item. InstructionsNo.
MOTOR SKILLS
48.
49.
50.
51.N
-17-
0:4 4
52. Ball can be eithe thrown or bouncedto
53.
54. Use ajar whi-h is small enou forthe child to gee his hand' around he lid..
55.
56.
57.
58. Have child climb up and down ladder.
O
Item
m414444
ft'CASIS TEACHER CHECKLIST (0-4)
-"N.Fall Spring
Ye's°No Emerq Yes No Emerq. ents
4
/.
48
49.
>
-$
.1(5 ..
.
,
53:
54.
554
56.
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 coordinated manner 7 seldomloses balande (3e mos)
.
.
Jumps up with both feet at once,, and
lands on 2,feet cir jumps off low -
furniture withouV, assistance-136 mos)r
Sea ds on one foot 'at least one second
.Catches a 21'',ball,when ot.hf:ownbtO him6 mos) ,', -,.,
.
Pedals a tricy a (36 moS)l .
\ 4 .. 4 Ns--'" e
C an screw lid on .e (36 mos,_
-Stacks up to 4 ' bl ecks (36 mos) A
TZn; pages of a l000kone at a time-__,
(36" mos) ..
.
. ..
.
Begins to hold crayon k, enCil with w
er-thumb grasp. (36- O)fi m.
,
Recipr gaily climbs bars on ladder .
148...mosr\,,. .
.
ItemNo:
59.
60.
Instructions
AOTOR SKILLS
61. 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) that
is a 1 ttle bit stiff..
0-4
ItemNo.
0 ;
cAsis 'TEACHER eHECKLIST (0-4)
\ Fall Spring\,.No Emer Yei No Emer Comments
.P9.
60.
61.
_,
62'.
63.
64-
65.
66-1
MOTOR SKILLS MKT ' D ,f
-#e,. t: %
. - r-4, ,.:).
:Trios)
.,.
% ) T )t. '4.' .
'
.
,mos
.
]tine)
.
...
o
.".`..,
.
.
.
..
:,.
2
.
.
k
.
.
,
.
-
,
.
. .
-..,
-...
,.
,
--
Of
.
i
.
_
.
.
.
...
.
.
-f ,..
Alternates feet -coining downstairs, .(48 mos) ,
.,, ,,,,,,
Ba,lances on one''foot, 8 4,econ. :.-04/.:
Runs and lumps hr ..;:nlyn 01';',;,00.-.-7.-feet (48 mos) ,.:1" ,: ,,, f
li ''' if1:4,4;3". 4'4Swings self (48:41.4 ...tit. .:r.
. .. . fe.:,. V'.- 4. ''' .4: !.
. k-,,,''t,,T4rns somersault -'I....N.:,
Stacks 10 or-more cubes (48 inos)-:.
Draws a fa0e- with .3 features 148? ? ,
Cuts with scissors (not following(48 mos). .
4 J
.
k
37 -20- 38
I
.
ItOM No.
A
Self-Help- Mkterials List '( Scale)
-4
.74. Wipe-and-Dipe
80. ripper board
button boaitd
O
AL.
4
1
I
(ThIt6mNo
0
,
Instructions
SELF-HELP SKILLS
67. Observe during lunch.
68. Observe during lunch.
.4-,
-22-
0-4
69).' 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 -*10
o
,ndicate whether verbal4Or nonverbal.
76.", Child has B.M. in toilet--childsplaceedpn,pOtty after eating. Childdoes 'not ingicate,ne9d.
77.
4 3
78. Child helps pull pants urIL-extendaarms through sieeve'of shirt, etc.
A79. Child helps pull off-pants, adult
assists with untying of shoes, etc,
.
41
ItemNo. Item
CAS'S TEACHER CHECKLIST (0-4)
' Fall SpringYes No Emer . es No Emerg.. Comments
._.
SELF HELP SKILLS
..,.
,
'.
.
,
.
,
.6
,
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.
.- .
, .
,
.
.
.
,
.
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.
.
a
.
.
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.
.
.
.
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4 3
.
.
.
,
. t.
67. Feeds self cracker (6 mos)
t68. Shows preference for some foods over
- others (6 nos) 'N
69. Removes shoes, socks (1 yr).
70.' Cooperates in dressing (1 yr).
1
71. Wears diapers (1 yr)
72. Accepts; chews, and swallows somelumpy foods (1 yr) iik-
73. liolds'cup.alone (l Syr)..
,..
74. Permits washing and,dying of handsand face (1 yr) ,
75. indicates wet pants (2 yrs)U
,
:76. Has bowel control 0 yrs)
77. verbalizes toilet needs fairly -
consistently ('2 yrg)
78.. :Asgists n dressing. (2 yrs)'i
,
79.- Undresses -with adult-assistance for-Ishoes, socks, pantsand-underwear
.(2 yrg),,), `_ .
:,-,.
.
.
,
.
.
.
.
9 -23-'
Item InstructionsNo.
SELF-HELP SKILLS
80. Use zippe board (large zipper).
81.
82. Observe during lunch.
ea"
4-24-
0-4
83. Observe during classroom activities/note if child mouths toys, objects, -etc.
85.
4 486. 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.
r
rAe
Iterd
/No:
CASIS TEACHER CHECKLIST (0=4)
Fall SpringItem Yes No Emerq. Yes No Emerq. Comments
*SELF HELP SKILLS4CONT'D
80. Can unzip dipper (2 yrs)
,81., Holds, spoon, brings it to his mouth andlicks it (2 yrs)
82. Uses spoon, but-scoops poorly and maytip it before it reaches mouth (2 yrs)
I83. Discriminates edible substances from
inedible ones (2 yrs)
84. Feeds self independently with super-,vision (2 yrs)
oloS
-85. Diinks from cup using two hands and -
returns to tall.e without spilling (2 yrs
6fl. Attempts washing hands independently,imitates adult washing hands _,(2 yrs).
...
87. -Pulls down pants at toilet (3 yrs)
88. Attempts to put on some clothesindependently, may put both legs in onepant, 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, . ......
4
46.
Item InstructionsNO
SELF-HEWSKiLLS4
90. Use button board. Must button atleast 2 button's.
91, x;e inuttoned shirt--have shirtinbuttbned;',.
92. Observe during lUnch.
93. Observe during lunch.
94.
95.
96. Help' child hold brush-lase up and
98.
99: Have tied shoesunlaced.
down stroke..
.
Child must'ust temove all clothing.
untied and partially
100.. Observe during lunch, have meat cut.
47
^rj
-26-,
0 -4
4
---em'No.' Item
CASI'S TEACHER CHECKLIST. (0-4) C
Fall Spring .
Yes' Na Emerq. Yes No,Emerq. Commehts.
. SELF-.HELP. SKILLS CONT'D .
.
,
..........
.
_
_
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.
.
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.
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.
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.
90. , Buttons large (1") buttons (3 yrs)
91. . -Puts on coat, shirt or dress un-assisted (3 yrs)
.
92. Begins using fork (3 yrs).... .
93. Eats at table with9ut requiring -toomuch adult. attention .(3 yrs)
.
94 Gets drink unassisted (3 yrs) .
95 Dries own hands (3 yrs)" -.. ,
. .
96: Accepts assistance in brushing teeth-13 yrs)
- 0.. ,/
...
97. Cares for self t toilet - such as'..t.Jwiping self, fl shing toilet with
"--.'- .assistance , (4 Ts) ,0
_- -
4.....
--'' 4
98. Undresses self unassisted' ( Te)
99. Child pulls, on shoes And soaks un- .assisted x.14 yrs)
!
,,.*W100. Feeds Self independently with,nosupervision -(4 yrs) ,
.
_
..
. S . .
.
e.,,,
r,
.
.- 48. -p
ItemNo.
Instructions
SELF-HELP SKILLS
-28-
0-4
1014,
102. Observe during lunch, cooking activity,103. or in home center. Check grasp.104.)
4 O
j
i9
'50
A.
Item',No.
p
Item
.CASIS'TEACHER 'CHECKLIST (0-4)
Fall SpringYes Yes No.
SELF HELP SKILLS OONT'D.
.
.
a
,
4
.,
,
.
.
.
.
.
.
,
4
.
-
,
.
..
.
I
,
,
.
- .....
. 6e..--
101. Spreads 'butter on bread with knife d(4 yrs).
dr102. Usres a,fork appropriately '(4 yrs)
103. 1Diinks'neatly from-cup using h'andle:1(4 yrs)
. t
*,104. Confgrmsto.appropriat'e table manners,)..i'
(4 iu-s)
5152
I
NO
Item11. No.
Ct...
Instructions'
SOCIAL AND EMOTIONAL SKILLS
J105. 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,R17
3. 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 his turn .and with!suggf4gabri, will put his toys away.liis-b-lock play is concerned largely
rliber than build-.
'in_ 3,1-iy one_ thing.
-`1.14,. c lId can engage in group play,
..the'size of grOup ranging from two tofiye children. There is a definiteinterest in finishing an undertaking,even though it, may need to be carried .
over from one day the 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 SKILLS
105. Levels of play (check area appropriate to child)
106.
1. Isolate (0-2 yrs)
2. Parallel (2-3 yrs)
3, Associative (3-4 yrs))1\
4. Interactive or cooperative (5-6 yrs)
r:
(0 -4)
Length of attention spanLess than1 minute
1 to 5minutes
5.: to 10
minutesover 10minutes
1,
2.
3.
4.-
,
%Independently
..
One-to-one
Small-aroup
1,..
Large Group
.
(self chosen)
.
..
(4 or less) -.....---
I
.
(
.
I-..
.-.
I".
--..
-
'''.oe.-0
._,
-
.
.
tai
1
.
.
..
-
ItemNo.
Instructions
-'32-
0-4
SOCIAL AND EMOTIONAL SKILLS
107. Check box if appropriate behavior isptesent and briefly describe appropriateor inappropriate expression or gesturein comments-section.
';.
It
I
O
O
CASTS ACHER CHECKLIST -07-4y.
a 4
- $OCIAL-EMOTIONAL SKILLSt
107'.
1
4
, Emotion r r.,
,-- ,
A
Appropriately gesturesor -verbally expressesto adults
.,
.
,..-.1
Appropriately gesturesor verbally.expressesto peers . r -
Comments
.,
A. Happy, * .
L .
.,
.
.. . V
B. Sad
.
.
.
\,,. .
J44,....4.6...-1,
r
.
C. Aggres-sive.
4.-
.. _
.
.
D.
.
Angry.
.
,,
e.
_
Q..
_
,
.
..
.
.
.
,
E. Frustrated .
. .
.
. \ 1
., .
57 . -33-
AP
PIP
WS'
58
'ItemNo.
Instructions
SOCIAL AND,EMOTIONAL SKILLS
(108. % given are of behavior frequency.-
4
w".
_
e
r
108.
SCHOOL BEHAVIOR CHECKtIST (0 -4)
Item Almost Never,
A. Attends sibol regularly
B. Demonstrates self- control
C.. Child accepts his own lAmitationswithout undue.frustratiOnsAIS hea.good.loser?) '
4,1
Child engages in excessive show-offbehavior
gChildexerts a reasonable amoudii7
of effort and does not give upeasily
:OW ''ck t-o
F. ,Child is free from tensional out-lets such as facial grimaces, nosepicking, nail biting, thumb sucking,eye 1511inking, sniffling, or crying,nose twitching
60 41
1!,s,
s`1.
S
4" :1 I,
11
r
(34-66%) (67-100%)Hlf The Time Consistently
a
a
ss
a
61
item,No.
Instructions
SOCIAL AND EMOTIONAL sxrus
4
113. Definition': Doesnot share, very posses-°sive of own toys, clothing, dishes.
114.
' 115.
.
62
ItemNo. Item
A
OASIS TEACHER CHECKLISTN.,(0-4)
Fall SpringYes No Efiter . Yes No Eme . Comments
--.S?`
SOCIAL-EMOTIONAL SKILLSt
.
.:
.
.
.
.
.
.
.,
,
vp-
,
.
.
.
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.
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.
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-64
.
.
.
,
.
-
.
109., Acknowledges and manipulates otherpeople, performs for others to geta reaction either poqitive'or negative('; yr ) ,. 0
'.4110. ShOws shy or coy behavior around
-,..
Stir-angers ( 2 yrs) ,
. A ,
111 Reaches for familiar persons (2 yrs),
112:,/ Resenttul.of attention shown to other.. . children (2 yrs)
.
e..
. ...-'' e
113. Well developed *concept of "mine" (2 yrs),t. . .
.
,
114:' Exhibits trust and mistrUst_if_peoplek-' and objects; avoids danger, (2 yr.$) '<
1;1.5.. Easily separates from mother. (3 yrs).
,
1 Chooses what he wants to do andk',,I,'.
perseverates on that choice (3 yrs) 1,
.
'117. Transitions are often difficult and( may betklelped by trying new ways of
doing things-or by moving to another'0,.room (3 yrs)
.-.- 63 . .
,-37-
ItemNo.
118.
Instruction's
SOCIAL AND EMOTIONAL SKILLS
119. For ,example, putting away toys, settingtable, .etc.
120.
121.
122.
123;
0 1
E.
ItemNo.
I
Item
CASIS TEACHER; CHECKLIST (0-4)
Fall SpangYes No Emerq. Yes No Emer . Comments.
,
. ..
,
SOCIAL - EMOTIONAL SKILLS CONT ' D
...
...
.
.
,
,
.
.
.
0
.
.
,
.
,
L'
.#
.
.
,
.
..
)
1
.
.7
..
,
)
. ,
.
118. Interacts with playmates (4'yrs)0
119. Helps with aduilAactivities in clas's-:
room (4 yrs) -A-if .
. . ,,,
-- ...
120 Goes on errands alOh:=1,)--'..;',:;,,7e clats-
room .-(4 yrS)
-;:,":e. Jz-,:,,,--z..,121. Sh .'''' tic responge to injFry ori-i, e'e, - 4
S d4.Z1 OS ers (4 'rrst,,,. ,:-, 4 40-
k, /i 0 igk2.
****** ..4...,'
123 Transiao less difficult and maybe helped. !.`adding' new mateials or us-
J ing'child's.new, interest .in numbers as, .
"By the.timie'I count to 5." (4 yrs)
0180/014,se.
A-
Ne
sa 0
0
6
0
Item No.
128. assorted pictures-
136. book, toy car, ball
Language Skills Materials List e0-4 Scale)
,
143. comb, spoon, cup, shoe, book
*toy broom, toy, hammer, comb144.
(
'145. baA., small box
146. bock, shoe, ball
e
150. twoAdentical cups
154.' pictures showing actions: flying,'1 sitting) catching,. hitting, peeking
155. two glips, two spooys
161. two identica balls, cups; -or dishes4
168. assorted objects such as balls, box,chair.
C-
68
1Ir
gtem
. I
Instructions
LANGUAGE SKILLS
124. Turns head in direction of voice/sound.
125. When played with and uses other vocaleiNtrespions of ple4sure.
1
126. 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 pointing.ing if child looks fleetingly at clothingmentioned. '
ScoreEmerg-
131. -Score emerging if child accbmplishes onrepeated requests.
132: List word. If childlist them..,
69133.
has Tess than teri words,
46
k
134. Definition: Child seems to'conversationally, though noare used.
135. Yes = 4 correct answers
I-
0
e talkingeal words
ItemNo. Item
CASIS TEACHER ,CHECKLIST (6-4)
LANGUA6E SKILLS
124. Localizes sound (3 mos)
Fall SpringYes No Emerq. Yes No Emetq.. Comments
125.; Laughs out loud (3 mos)
126. Responds tO15wn name ( 6 mos)
127. 'Babbles (6 mos)
128. Will sustain interest for at least .01full. minute in looking at pic..turesif they are named. (9 mos)
I
,129. Plays speech gestire games like "peek-a-boo" or "pat-a-cake" .(9 mos).
130 Shows shoes or other,item of clothing_ onverbal request -(12 mos)
131. Waves bye-bye or claWhands on verbalrequest (12 mos)
132. Says one word appropriately (12 mos)
133: Attempts to express needs through.gestures and /or vocaliZations otherthan crying. Points 'desired 9bject;gestures to indicat needs. (12 mos) .
. 134. Usually vocalizes in. 4ried jargon.patterns while playin alone (12 mos)
O
13. poiptsto mouth, 'hair, ear,',-nose, handwhen asked, "Show .me.your
rti (12 mos)
I I
-42-
ti
72
I . -43-
rteth Instructions
LANGUAGE SKILLS
0-4
136. 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 = 3
138. List in comments sect q uestions usedby examiner.
,,139. Child asks for specific thing riot neces-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 forl
r,show me). 'Repeat, with comb and toy hammer.
: A - 4%
t
4
7 3
ItemNO: Item.
CASIS TEACHER CHECKLIST (0-4)
Fall Springyes No Emerq. Ylis No Emerq.
LANGUAGE SKILILS,CONT'Di
136. Discriminates 2 objects by. name (18 mos)
137. Demonstrates 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 response to simpld, concretequestions (18 mos)
139. Asks for at leisC2 things)(e.g. food,
drink) without sitUationalicues (18 mos)
4
140. Has verbal Vocabulary of at: least 10,
spontaneously and' appropriately used. words .(18 mos) .
141. ImitateS)environmenal sounds (sudh asmotorse,ahimals,_etc.)spontsaneously3during-lo1ay.(18 moss)
142. Follows 2-stage related c1mmands (24 mos
411
410-04,0
143. Upon verbal request selects an item from,a, group of 5 or more obje6ts (2(- mos)
-
144. Identifies-3 objects by demonstratinguse (24 mos)
. 11 1
,, G.
7.4
4
. .
Comments .
I
7.5
)
ItemNo.
\ Instructions
-45-0-4
145.
LANGUAGE SKILLS- 3
and .
.
Ask child to place a. ball in)Dox, on I 153. "ThroleLthe paper in the wastebasket. and sit on the chair." "Get your
shoes (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. up
boot, 'ask child to give you one likeit. ,Yes = correct response. emerging =child picks up or points to correct itembut does not "give"..
both accomplished.t
147. 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 frontchild. Say "show me your cup;/Slow me my Ur'
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 = repeats
6verbatim.
3 7'i
46
k ItemNo. Item
NGUAGE SKILLS CIONT'D
CASIS TEACHER ..VECKLIST (0-4)
FallYes No Emerg Yes No Emer5:
145.. Diffe entie$.esNbetween in, on, andunder (24 mos)
146. Shows generalization by matching like(not identical) objects. (24 mos)
147. ombines.worrds. in simple sentences, word) like "go bye-bye," "Daddy
ome," etc. (24 mos)
Names familiar .objects while ,playingwith them or when pointed to (e.g bal'l,car, doll) (24 mos)
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 (especially in referenceto self) (30 mos)
152. Repeats 3-4 Syllable sentences ih. -imitation"sucWas"I want cookie,'
"time to go," "Give me atoy." (30 mos
153. Follows, 2-stage unrelated commands(30 mos)
78-46-
0.
/Comments
79
O
ItemNo.
Instructions
LANGUAGE SKILLS'.
154. Show child action pictures. Teacher says"show'MP fly, sitting, catching, hitting,
peeking." Yes =4/5 .
471°
0-4
155. 2 cups, 2 spoons. )Tell child "Give me cup""Give me spoon ", "Give me 'Cups." "Give meslioons." Yes .= 2 of 3paired trials
156. Ask child: What scratches? What sleeps?What flies? What bites? IWC;t swims? Whatbdrns? What cuts?, What 'shoots? What melts?Yes = 6 correct answers
157. 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 out
5 correct.
80
O
As*
161. Show child 2 identical balls, cupsor dishes. Say, "Here is a cup; herearef2 ." (Child is to fill in
° with plural.fOrm.)1 i
162. Ask child "What is a dog? "What isa ba 1?" Score yes any verbal response
6
wilic indicates child understands noun.
163. Tolli child', using gestilres;-"Lilsten,I ,waht you to do something forPut the pencil on the Cha4:,:then,
r
close the door and-U.ihg methe-tball
op the table*." 2,trials. Yesr
hildcorrectly performsitask in correctsequence on first trial,.Emergin4=ch4d performs correctly on 2nd trial.
J164. Ask 'child to place himpelf in positions
notc4d 'Yes = 5 out of 6. Emerging= 4 out of.6.;
A
81
Item .
No. Item
CASIS TEACHER CHECKLIST (6,,4)
LANGUAGE SKILLS CONT'b,
° 154 Car identify several pictured actionsappropriately (36 mos)
,, SpringYes No Errearq. YesiT6' Emerq
I
4
155). Dii*Crirranates plural .from singular,nouns (56 mos).
156, Gives name of actor1
(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)
160 Relates experiences, ,usually in re-sponse to a question (36 mos)
,161: Pluralizes regular nouns (36 mos)
.111.e
61/1:.
Comments
162 Can elabovery familiar_ vocabulary(36'mos).
e
163. Carries out 3-stage gestUred command*"(315 yrs)
164.
i /
Discriminates preposAioris - in front, ofin backolr:,, by, next to,,up,.on top:(31' yr S
82
4 ,
A'
.
o - O
Item.No.
Instructions
LANGUAGE SKILLS
-49-
/0 -4
165. 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 child can recite rhyme With ?fay 1errot (omittedor substituted Word).\._Score emerging if child isaBle to fillIn key words.
167. Ye 4/= 4 correct. Emerging F,12:c6r 3 correct
168. 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. 0
169. Yes = 2 y propriate verbal statements.,Emerviling = appropriate verbal- statement.Give examples.
170. Obtain through repeated observations.-Give examples.
Ask child to walk or scoot forwar'd orbackward.
171
4. $
8 4 172 . Use either one of following, sentences."Torn has.lots oL._fun playing ball withhis sister." 'Jaffe wants to bpild a bigcastle in her paybouse." Ye4only if
4
-
repe ted verbatiii (EXCLUDE articula-'_ticln errors). 'Do not.repeatAentences._
S
2 examples10
in comments.
8u
e,"
Itemo.
1.
a
Item'
.
CASIS TEACHER CHECKLIST (0-4)
Fall SpringYes No Emerq. Yes No Emerq.
LANGUAGE SKILLS OONT'D
Communicates in 6-8 word sentences(31/2 yrs)
166., Says at least one 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?"
.
0
168. Follows 3 stage command without gesture(4 yrs)
. e
169. Answers comprehension questions requirilogical conclusions:, (4 yrs)
"What do "you do wherv,you're coled?""What do you do when you're sleepy?"
170. ,Consistently comprehends concept of pamdifferent
' (4 Yss)
171. (Gankn put self in poiitionsof) beside, between, forwardbackward
, (4 yrs).
0.172. Can repeat a 12 syllable sentence (4 yr
/ 4173. 'Uses many "how" and "why"-questions.___ -..n Asks for detailed explanationg. Oil, yrs
,S o
Comments
Fa"
I
S.
a
0-4
Item Instructions
LANGUAGE SKILLS
174. Give 2 samples in Comments.
175. Ask child "What is a shoe? is a clock?",'Yes = both, verbally defined, orrec ly. .Emerg-ing = l'defined.
4010"
I
4
Iee.
.88
4.1
44
t.
01
Item
CASIS TEACHER CHECKLIST G4O-4)
Fall ,SpringYes o Emerg. Yes No EmerQ. Comments.
174.
175.
LANGUAGE .SKILLS CONT'D
.
.
.
.
.
4
.... .
.
.
,v
.
,r
0.-
.
1
Uses compound sentences (I want to' drinkwater and then play.)
. .(4 yrs)
Can define' shoe and clock (4 yrs)
B9
-7?
OM
-52-
4.
t
a 4.
4.
-0
c
6.
)ao
`--Instrtictions
LANGUAGE SKILLS
41/1111.1111-53-
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;; i 4177.
.40
P
LANGAUGE EXPRESSION'
OASIS TEACHER CHECKLIST (0-4).
176. For all verbalfcildxon. 'Rate the child from 0-3 on the following:
Expresses self.clealy, easily, and readilyI
Verbal output appropriate to:':situatiOnQ.
Us$ language spontaneougN7to comMunicatemeeds,feel-1*gs, ideas with-children:*
2 "--With adults:.
ArticulatNion
0
'177. Check (41 presence of behavior liste -
ti
.1
A No "intelligible utterances
.
Single words intellig.-ble-V imitati6n only
4
Single worth intelligib
'u.
Sentences oi;pprases intellig...,:
,..
Conversation-,intelligible
'Multiple, -obv/ous articUlationflerrtaIts
Drools continuously
DroolsOatasionall1T
V
.S. . ' N.:' ...- -.,/r-V. -' "...1:1;..-:xt..74; .
44.
A
1
7
Item' Instiuctions
LANGUAGE SKILLS
178.
179,
.4,q
(
'
7
1,4
.
ti
9
.
-55-
O
top
ik
r
.,
CASIS TEACHER CHECKLLST -)(0-4.. /
Item ..s.
,,,.No. Item
Voice Quality
178. Check (-4 child's voice characteristics:"
InaudibleO
,Low volume ;
Hoarse
Nasal.
Hia's known -allergy,060* N
Fluency
179.-,Check chilcvs-fluencv:-
t
ylf
Rate apppars adequate
Word repetitions evident(II-I,want a cookie)
6
a
Struggles to'formulate wOrds.
Speaks -too rapidly
1.",Speaks -too slowly.
';';'
,-;
./
P
0
I )
..
i'
-56-
7--
'1
Pre-AcademicMaterials List (0-4 Scale), \ .
Item. No. . -
t
%
180. two balls:(one large, ,one small) Apl, *196t two name cards (one must shoW name.
,
4, of child being asse+ed)
181. rock; klednex .
, ,
. 198. 26 letter cards (one alphabet letter., .
*10. paper pquares,'.6ne each of blue, . 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 (four long,
. , . our short)'185: blocks, c'ards, beads (geveral of each) , ,
. .
203. cube blocks:189. - pictures: cat cup, 'fish, feather .
.
190. four boxes (assoted sizes) ' 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 #182
hOpposites".cards shoWing tall short,up -down, open-shut AA
*193.
194.
195.
9.8
ten pictures of objects (.7 must bekitchen items),
f
-57-
mt
.3
9 7 .
Item Instructions-..
-58-
PRE- ACADEMIC SKILLS
180. Show child-2-bails (1 b.kg, 1 little) "4
Say; "Show Me .the big ball." Dotrials.' 3 correct responses = yes
181', 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 at
least 4 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 ...the
correct responses foremerging,
- . s. .
'185.-Have several b16,cks on table'. Say "Give
,.
. m9,Ohe block." Repeat for carsy -andt.. 98 beads._"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 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-biggest
I,
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
ItemNo Item
CASIS TEACHER :CHECKLIST' (0
SpringYes No Eimer .
FallYes No Emei'
T.
Comments
...
180.
181.
..
182.
183.
184.
185..
.....-
186..t.
187.
188.
189.
190.
191.
'
PRE-ACADEMIC SKILLS
.
o
.
.
.
.
.
'
.
.
:
,
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.
.
.
.
-
4
..
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.
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.
.
.
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,
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.
.
.
.
.
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.
,
.
1
.
ft ,
Has concept of size (21/2 yrs)
,
Understands words heavy and light !
(3-
(yrs)
Can identify a color by pointing(3 rs)
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.
Item
S.
% .1'instkuctios,
'PR4,-ACADEMIC SKIRLS
. ,
192. Show -child 2 balls; 1 hard, ,1 soft;: Askhith to feel. Then ask; "Whiblione.i- hard,
%which one is soit?'!- Repeatrwith,.sand.paper and writing..piPer, using fPugh and,
4
smooth. 4 correct responses =yes.
\P-I -60-
*193. Show child.,.bne a-tithei paper squares.lred, blue, yellow, green, orange, purple)Ask the child,.t9 name eachas it :is shown.Score child "yes" ii.54 names ,3 colors,;
,
.; Indicate na ed. %.
t 6"
1940 -.Shbw,child a pair of oPposite cards.Ask one .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*child dark, onename on it;. %Ask ,him
4, with his flame on 4.
10.. Does not hay to:give house. number.
Show child-lttdr'ecards,' 1 'at/g time, oftall 26 betters:-- Ask him to name letter asit.is-shP* indiQate tetters named. 3 or
. more. = yeS%'
of which has histo point tattle card
. .
'o
... ,;
19. St;ow child haAdfal of coins.:hith what it ,is. Child muAt answer,m6nei dr. may nAme coins.
1.....
. - .-'' -- .$9.
'200. Show 4 sets ok.Tinker, Toy stiCksw,one. -.set at a.time. -Ask' child :14hiCh is 4.
,'longer. ,Yes = 4 of 4_ 1
.1201.* At snack say "Take-two cookies. h'
A ,t.
202.:Counts to 10 correctly = yes. .-Says ,
numbers bqtoutpf,equence =;pmeririg.
#ASk
16
203. Rave 3 blocks on table. AAk childsto.
count them poiniingto ellCh in 'turnCheck for 1-o-1 correpend4nce
eaph in turn) .- yes = correct st
1-to-1 cOrrespondence
'N
"
7a-
.
ItemNo.
.
192., Cr
S
,., 193. I
194. U
195. I
0
1196 -12
197.
198. I
199. .R
20Y., C1
202. C
203. Cc
tc
.104
Item
CASTS TEACHER CHECKLIST.(0-41.
Fall Spring .
Yes No Em rq. Yds ko Emerq.
I
Comments. .
PRE-AC hDEMIC SKILLS CONT'D ,
,
. .,
....,.
...
. .,
h Ogg Pare textures7ast hard/soft, , 1 \--,ugh/smooth, e.g. Which ball is ' . _ ..,4 ,- .
..,rd? Soft ?. which paper is rough? .
,.
ooth?(4 yrs).
.
-\,. . .
entifies.2 or 3 colors-by name,.
..
'yrs) ,
% -
1. .p ,.idirdtands basic opposites (4 yrs).. ,. 0
. .e ... -, ...
entifies 5 of :7 pictures in term-. , '
.7: use (4 yrs) ,- - ._ . . .
.. ,.cognizes his .printed name .
-
.yrs) ' , .
-1--
'le . .'-ves street he livesp-on (4 yrs) ,
. .- ....2. , .
enifis I capital letters (4 yrs) :.
. . ..
. .. _ -.
. ,.
-,cogpiZes money (4 errs)',
. .
..,.
& . .. _ . . ....\
n tell whiCh 617-2'sticksis-.
nger (4 yrs) '-----s- , 1. ., ,,- / .4., .e ,1 .
n give e.set.of 2 objects on.- .
.quest,(4.yrs) -
,
". ,.
, . 4,...
. .unts to 10 by note (4 yi.$) . ... .. . 4 ... 4: .'..unts a set -of 3 blo ks, pointing \ ,
4. ,..:7each in turn (4 yrs).
,
..
. .
..
. -- .
&. -
r
-62-
.Procedure forCompleting profile Sheet
1. Whenadmihistering a scale, mark "re's';for allitems which you determine a childhas already achieved. In the commentscolumn, stat,0 "beyond this stage.."
l
2. When doing both 0-4 and 4-7scales onone 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,differentcolor 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 numbers as 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. In the pre aPda.post columns on the rigiit`,.,_of each section 4nter4
106 To a1 number ofitems 6cored."vds"P
Total.numller of-Items ATTEMPTED or obW.clusly
already achieved
.;.7. For the pretest administration of each
section, 4 line 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 last age. bracketwere scored yes",._the line wilf.teachonly part way, across the age bracket.ExteOd the line into the age bradket'',a proportionate distance rePreseptingthe fraction of Etems'In that agebracket scored "yes".
A similhr line may be drawn 'in a differ-ent color 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/losses:
Difference = Post j numerator - Pre numerator
'Enter the difference in the appropriatedifference .box, .,being sure to include a"+",or 6.-." sign to indicate an overall,gain or loss foe, that section.
7
107..
4
0
r
Childs NamePretest Date
- -Posttest
N '.e
.
.
,
'
CasisL . ... .
.. .Tea Cher 'Checklist Rating- ,Scale,.- Birth to '7 Years'
IS.
Pretest Color° - Posttest Color
.,, .
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.
.-
..
,,-Date.c_
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..
,
. .Months 0 3 6 +I"9 12 -18 24 30 36 48 60 72 . 84 Pre Post Diff
. .,
PerceptualSkills'
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Skills-. ,.
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Self 714-elpSkills
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Social -,
`,' EmotionalSkilts
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LanguageSkills .,
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-AcademicSkills
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The project presented or reported herein was pertorme4
pursuant to 'a Grant. from the United States Office ,of
Education, Departm9it of Health Education anti WelWare,1
however, thd)opinioEs expressed hereindo not necessarily
1'
reflect the position or policy of the United Stktes
Office of "Education; and no official endorsement by the
United States Office f Education shohld be inferred.)
et4.
. )
110