Client Report Assignment
dw50
ClientReportReadingPacket1.docx
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Examiner’s name: |
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Client’s name [FIRST NAME ONLY]: |
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Client’s age: |
Grade: |
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Client Background |
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Narrative description of client’s background and school experience (general education or special education, any other information known):
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List of Assessments |
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· Teacher Referral Form · Observation Checklist · Graded Word List (include all that are used with client)* SCAN AND ATTACH · Graded Passages (include all that are used with client)* SCAN AND ATTACH · Basic Reading Inventory (BRI) Performance Booklet* SCAN AND ATTACH · Qualitative Analysis of BRI Insights* SCAN AND ATTACH · Retelling Procedure (starts on pg. 405 – include the one that applies) SCAN AND ATTACH · Summary of Miscues on BRI (pg. 415) SCAN AND ATTACH · Expert Noticing Observation Guide (pg. 418) SCAN AND ATTACH · Communication of Assessment Results COPY AND ATTACH |
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Assessment Results & Recommendations Based on Data |
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Narrative description of test behavior and explanation of test results (250-300 words):
Recommendations for Future Instruction with Research to Support Them (2 or more ideas for each audience listed below): · Teachers:
· Family:
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TEACHER REFERRAL FORM
Student: ________________________ Grade: _______ Teacher: _________________________
Reason for referral: _____________________________________________________________
Please check any items in which the student has difficulty:
Moderate Severe
EDUC 622
1
_____ Sight word recognition
_____ Phonetic analysis
_____ Comprehension skills
_____ Study skills
_____ Oral reading
_____ Silent reading
_____ Hyperactivity
_____ Day dreaming
_____ Distractibility
_____ Explosive behavior
_____ Withdrawal
_____ Relationships with peers
_____ Arithmetic
_____ Spelling
_____ Handwriting
_____ Speech
_____ Large muscle coordination
_____ Following directions
_____ Meticulous
_____ Frequent crying
_____ Erratic effort
_____ Demanding attention
_____ Uncontrolled behavior
_____ Stubbornness
Comments: ____________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Date: ________________ Signature: ______________________________________________
OBSERVATION CHECKLIST: READING BEHAVIOR
Name __________________________ Grade _____Teacher ________________________ Semester____________
Direction: Tally significant observations day by day. Space at bottom of each section can be used for noting specific errors, interpretations, general impression, evidence of progress, and recommendations.
Oral Reading and Group Instruction Periods
Word Recognition Skills Comprehension Peer Relationships
__Basic sight vocabulary __Answers factual questions __Gets along well with girls
__Tries to sound words correctly __Gets along well with boys
__Tries to pronounce by syllables __Gives main ideas __Respects others
__Tries to analyze structure __Tells whole story accurately __Disturbs others
__Substitutes another word __Draws conclusions __Works alone only
__Makes wild guesses __Makes generalizations __Works well with one other child
__Reverses letters __Follows directions __Uses index
__Reverses words __Gives sensible reasons on __Uses table of contents
__Reverses phrases thought questions __Uses dictionary
__Uses context clues __Gives fantastic, irrelevant __Uses maps
reasons on thought questions __Uses diagrams
__Relates reading to experience __Uses encyclopedia
__Expression in reading
Insights for oral reading ______________________________________________________________________
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Silent Reading (Free-choice Reading or Library Time)
Location of Material Attitude Toward Reading Reading Level Physical Factors
__Finds suitable book quickly __Engrossed in book __Primer __ Holds book up
__Follows suggestions of __Enjoyment evident __First __ Holds book close to face
other children __Independent __Second __ Lip movements
__Has teacher help __Dependent upon others __Third __ Squints
__Selects too advanced books __Uninterested, resists __Fourth __ Blinks eyes
__Takes useful notes or avoids reading __Fifth __ Eyes red or watery
__Uses table of contents __Easily distracted __Sixth __ Complains of dizziness
__Unable to find any book __Other __Seventh __ Bends over book
of interest to him __Other __ Fatigue posture
Interests
__Animals __Sports __People __Art __Science __ Car, planes, etc.
__History __Music __Adventure __ Rockets __Fairy tales __ Armed forces
Insights for silent reading _____________________________________________________________________
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Listening To Story Read Aloud
Interest
__Listens attentively __Evident appreciation of story- __Tells main ideas
__Listens part of the time talks about it __Tells whole story accurately
__Easily distracted __ Asks related questions __ Relates ideas to own experiences
__Restless and preoccupied __ Responds to humor and excitement
Insights for listening __________________________________________________________________________
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Scan & INSERT the remaining assessment documents in the order listed on the cover page.
Submit your packet as ONE Word document in both LiveText and Canvas.
