TEST FOR STUDENTS This test should be carried out according to the age of the student. Please select the student’s age and respond. FormCalificationsFirst Name StudentLast Name StudentSelect the age of the student- Select -1 Year Old Class2 Years Old Class3 Years Old Class4 Years Old ClassGross Motor Skills Please rate your response on a scale of 1 to 5, where 1 represents poor performance and 5 represents excellent performance.Crawling, Standing or Walking 1 2 3 4 5Ability to pull up to stand or cruise along furniture. 1 2 3 4 5Walking confidently and running. 1 2 3 4 5Kicking or throwing a ball. 1 2 3 4 5Climbing onto and down from furniture. 1 2 3 4 5Running with ease and stopping quickly. 1 2 3 4 5Jumping with both feet off the ground. 1 2 3 4 5Hopping on one foot. 1 2 3 4 5Catching a ball with hands. 1 2 3 4 5Balancing on one foot for at least 5 seconds. 1 2 3 4 5Fine Motor Skills Please rate your response on a scale of 1 to 5, where 1 represents poor performance and 5 represents excellent performance.Picking up small objects with thumb and forefinger (pincer grasp). 1 2 3 4 5Transferring objects between hands. 1 2 3 4 5Scribbling with crayons or markers. 1 2 3 4 5Stacking 4-6 blocks. 1 2 3 4 5Turning pages in a book (one at a time). 1 2 3 4 5Using scissors to cut paper (basic skills). 1 2 3 4 5Copying simple shapes like circles or lines. 1 2 3 4 5Building towers of 8 or more blocks. 1 2 3 4 5Drawing shapes like squares or triangles. 1 2 3 4 5Using scissors to cut along a line. 1 2 3 4 5Writing some letters or numbers. 1 2 3 4 5Comunication Skills Please select the skills that the student can performComunication. Babbles using consonant-vowel combinations. Attempts simple words. Responds to own name.Comunication. Uses 2-3 word phrases. Follows two-step directions. Names at least 5 familiar objects or people.Comunication. Uses 3-5 word sentences. Follows three-step directions. Names at least 3 colors or shapes.Comunication. Speaks in sentences of 5-6 words. Tells a simple story with clear structure. Understands and answers “why” or “how” questions.Cognitive Skills Please select the skills that the student can performCognitive Looks for a toy after it’s hidden. Enjoys playing cause-and-effect games (e.g., pressing a button). Imitates gestures like clapping hands.Cognitive Sorts objects by shape or color. Engages in pretend play. Points to or names items in a picture book.Cognitive Completes a 4-6 piece puzzle. Recognizes basic shapes and colors. Engages in pretend play with a storyline.Cognitive Counts up to 10 objects. Sorts items by size, shape, or color. Recognizes and completes simple patterns.Social/Emotional Skills Please select the skills that the student can performSocial/Emotional Smiles or reacts positively to familiar faces. Demonstrates separation anxiety or seeks comfort from caregivers. Engages in simple interactive games.Social/Emotional Plays alongside peers (parallel play). Shows frustration but recovers after guidance. Attempts simple self-care tasks (e.g., washing hands).Social/Emotional Plays cooperatively with peers. Shares toys or takes turns with guidance. Expresses emotions and shows empathy.Social/Emotional Plays cooperatively with peers in group activities. Resolves minor conflicts independently. Expresses emotions appropriately and begins to self-regulate.Submit
