Phonological Awareness Assessment Form

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Phonological Awareness Assessment
(For 4-Year-Olds who have turned 4 by September 30)
Assessment to be completed in October, January, and early May. Please indicate assessment date on first line of each Part.
Name __________________________________________ Birthdate_______________ Center/Class___________
[ ]
Children have five (5) seconds to respond. Anything longer is considered incorrect.
English is second language
Part One
Teacher says:
I am going to say two words. Then I would like for you to say the words and tell me if they rhyme.
Teacher says:
Child repeats:
Teacher says:
Teacher records responses.
Cat .... Mat
Cat ....
Do these words rhyme?
___ / ___ / ___
___ / ___ / ___
___ / ___ / ___
Beginning of Year
Middle of Year
End of Year
1.
house ... mouse
1.
[ ] check if correct
1.
[ ] check if correct
1.
[ ] check if correct
2.
make ... cake
2.
[ ] check if correct
2.
[ ] check if correct
2.
[ ] check if correct
3.
girl ... dog
3.
[ ] check if correct
3.
[ ] check if correct
3.
[ ] check if correct
4.
pig ... puppy
4.
[ ] check if correct
4.
[ ] check if correct
4.
[ ] check if correct
5.
jump ... bump
5.
[ ] check if correct
5.
[ ] check if correct
5.
[ ] check if correct
6.
in ... down
6.
[ ] check if correct
6.
[ ] check if correct
6.
[ ] check if correct
7.
sun ... sleep
7.
[ ] check if correct
7.
[ ] check if correct
7.
[ ] check if correct
8.
night ... light
8.
[ ] check if correct
8.
[ ] check if correct
8.
[ ] check if correct
9.
mop ... top
9.
[ ] check if correct
9.
[ ] check if correct
9.
[ ] check if correct
Total Correct: ________
Total Correct: ________
Total Correct: ________
Part Two
Teacher says:
Now let’s play another rhyming game. I am going to say a word like “frog.”
Teacher says:
Child attempts rhyming word:
Teacher records responses, then tallies total correct.
Frog.
Log.
___ / ___ / ___
___ / ___ / ___
___ / ___ / ___
Beginning of Year
Middle of Year
End of Year
1.
pat
1.
__________[ ] check if correct
1.
__________[ ] check if correct
1.
__________[ ] check if correct
2.
bad
2.
__________[ ] check if correct
2.
__________[ ] check if correct
2.
__________[ ] check if correct
3.
sat
3.
__________[ ] check if correct
3.
__________[ ] check if correct
3.
__________[ ] check if correct
4.
tall
4.
__________[ ] check if correct
4.
__________[ ] check if correct
4.
__________[ ] check if correct
5.
pan
5.
__________[ ] check if correct
5.
__________[ ] check if correct
5.
__________[ ] check if correct
Total Correct: ________
Total Correct: ________
Total Correct: ________
Teacher says:
Teacher says:
I am going to say two words. Tell me if they begin with the same sound.
silly ... sun.
Child repeats the pair:
Teacher says:
Teacher records responses.
silly ... sun
Do they begin with the same sound?
___ / ___ / ___
___ / ___ / ___
___ / ___ / ___
Beginning of Year
Middle of Year
End of Year
1.
[ ] check if correct
1.
nut ... mail
1.
[ ] check if correct
1.
[ ] check if correct
2.
[ ] check if correct
2.
sock ... sail
2.
[ ] check if correct
2.
[ ] check if correct
3.
[ ] check if correct
3.
foot ... tie
3.
[ ] check if correct
3.
[ ] check if correct
4.
[ ] check if correct
4.
rain ... mouse
4.
[ ] check if correct
4.
[ ] check if correct
5.
[ ] check if correct
5.
boat ... box
5.
[ ] check if correct
5.
[ ] check if correct
6.
[ ] check if correct
6.
log ... light
6.
[ ] check if correct
6.
[ ] check if correct
7.
[ ] check if correct
7.
kind ... glue
7.
[ ] check if correct
7.
[ ] check if correct
Total Correct: ________
Total Correct: ________
Total Correct: ________

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