SACRED HEART KINDERGARTEN SCHOOL

Molave, Zamboanga del Sur

Kinder I/ Nursery
ASSESSMENT FORM
I.

II.

PERSONAL INTERVIEW
What is your name? ___________________________________________
How old are you? _____________________________________________
Are you boy or a girl? _________________________________________
Where do you live? ___________________________________________
What is the name of your mother? _______________________________
What is the name of your father? ________________________________
Do you have brother/s? ________________________________________
What is the name of your brother/s? ______________________________
_____________________________
Do you have sister/s?_________________________________________
What is the name of your sister/s? _______________________________
_______________________________
DISCRIMINATING/IDENTIFYING
A. COLOR
a. PRIMARY COLOR
Line up color card. Ask the child
Blue
Where is red?
Red
Give me the red one
Yellow
What color is this?
b. SECONDARY COLOR
Green
Orange
Violet
c. OTHER COLOR
White
Black
Gray
Pink
B. SHAPES
Circle
Line up shapes. Ask the child.
Square
Where is circle?
Triangle
Give me the circle?
Rectangle
What shape is this?
Diamond
Star
Heart
Crescent
Oblong
C. SIZES
Line up shapes. Ask the child.
Big
Where is big?
Small
Where is small?
Arrange the sizes from big to small
D. SOUND
1. ANIMALS
2. COMMON THINGS AND OBJECTS
Snake
Cow
Bell
Telephone
Dog
Goat
Clock
Boat
Cat
Frog
Tricycle
Drum
Bird
Carabao

III. GROSS MOTOR SKILL

The child can
Walk
Run
Jump

Kick a ball
Throw a ball
Catch a ball

IV. FINE MOTOR SKILL

The child can:
Fold a paper
Hold a pencil
Tear a paper
Cut with scissors
Color within lines
Build simple pyramid made of blocks
Write names __________________________
Write letters __________________________
V. NAMING OBJECTS
What is this?
Glass
Pencil
Toy
Book
Crayon
__________________________________
Ball
VI. PHONIX
A. Identifies letter names:
( Specify which letter by encircling )
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E
M
U

What is this/it is for?

__________________________________
__________________________________
__________________________________
__________________________________
__________________________________

F
N
V

G
O
W

H
P
X

F
N
V

G
O
W

H
P
X

B. Identifies beginning sound of letters:

(Specify which letter by encircling)
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E
M
U

VII. MATH
A. Counting Numbers (Rote Counting)
Ex. 1-14, with numbers 8,9 missing
B. Identify Numbers
(Specify which number by encircling)
1
2
3
4
5

6
7
8
9
10

11
12
13
14
15

16
17
18
19
20

21
22
23
24
25

VIII. SOCIO EMOTIONAL

Y

N
1. Comfortable in school environment
2. Goes with teacher alone for a period of time/ separation
3. Relates well wit teachers
4. Works independently
5. Pleasant in disposition
6. Articulates/communicates clearly with eye contact.

SACRED HEART KINDERGARTEN SCHOOL

Molave, Zamboanga del Sur
Kinder II
ASSESSMENT FORM
I.

II.

PERSONAL INTERVIEW
What is your name? ___________________________________________
How old are you? _____________________________________________
Are you boy or a girl? _________________________________________
Where do you live? ___________________________________________
What is the name of your mother? _______________________________
What is the name of your father? ________________________________
Do you have brother/s? ________________________________________
What is the name of your brother/s? ______________________________
_____________________________
Do you have sister/s?_________________________________________
What is the name of your sister/s? _______________________________
_______________________________
DISCRIMINATING/IDENTIFYING
A. COLOR
a. PRIMARY COLOR
Line up color card. Ask the child
Blue
Where is red?
Red
Give me the red one
Yellow
What color is this?
b. SECONDARY COLOR
d. Tertiary Colors:
Green
Red orange
Orange
Red violet
Violet
Yellow orange
c. OTHER COLOR
Yellow green
White
Blue violet
Black
Blue green
Gray
Pink
B. SHAPES
Circle
Pentagon
Line up shapes. Ask the child.
Square
Hexagon
Where is circle?
Triangle
Heptagon
Give me the circle?
Rectangle
Octagon
What shape is this?
Diamond
Nonagon
Star
Decagon
Heart
Crescent
Oblong
C. SIZES
Line up shapes. Ask the child.
Big
Where is big?
Small
Where is small?
Arrange the sizes from big to

small
D. SOUND
1. ANIMALS
OBJECTS
Snake
Dog
Cat
Bird

Cow
Goat
Frog
Carabao

III. GROSS MOTOR SKILL

The child can
Walk
Run
Jump
Swing
Climb
Dance

Kick a ball
Throw a ball
Catch a ball
Walking on a balance beam
Sing
Slide

2. COMMON THINGS AND

Bell
Clock
Tricycle
Airplane

Telephone
Boat
Drum
Train

IV. FINE MOTOR SKILL

The child can:
Fold a paper
Hold a pencil
Tear a paper
Cut with scissors
Color within lines
Build simple pyramid made of blocks
Write names __________________________
Write letters __________________________
V. NAMING OBJECTS
What is this?
What is this/it is for?
Glass
__________________________________
Pencil
__________________________________
Toy
__________________________________
Book
__________________________________
Crayon
__________________________________
Ball
__________________________________
VI. PHONIX
B. Identifies letter names:
(Specific letter which letter by encircling)
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E
M
U

F
N
V

G
O
W

H
P
X

F
N
V

G
O
W

H
P
X

F
N
V

G
O
W

H
P
X

F
N
V

G
O
W

H
P
X

B. Identifies beginning sound of letters:

(Specify which letter by encircling)
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E
M
U

C. Identifies Vowel Letters

( Specify which letter by encircling )
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E
M
U

D. Identifies Consonant letters

( Specify which letter by encircling )
A
I
Q
Y

B
J
R
Z

C
K
S

D
L
T

E. Identifies some syllables

Ba
Ca
Di
Fe
Ga
Ja
Ke
Li
Mo
Ne
Ra
Se
Ti
Vo
Wi
Za
F. Read CVC Words:
Pet
Rat
Sun
Fix

Ten
Mat

G. Read Sentences:
The cat is on the mat.
The hat has a tag.

E
M
U

Hu
Pu
Yu

Top
Wax

She swims in the pool.

Ana has a bottle of jam.
The cat is eating.
VII. MATH
A. Counting Numbers (Rote Counting)
Ex. 1-14, with numbers 8,9 missing
a. Identify Numbers
(Specify which number by encircling)
1
6
2
7
3
8
4
9
5
10
B. Add numbers

5
+ 4

11
12
13
14
15

2
+3

16
17
18
19
20

21
22
23
24
25

1
+6

8
+1

3
+4

6
-4

3
-2

8
- 4

C. Subtract Numbers

6
-3

10
- 5

VIII. SOCIO EMOTIONAL

Y

N
1. Comfortable in school environment
2. Goes with teacher alone for a period of time/ separation
3. Relates well wit teachers
4. Works independently
5. Pleasant in disposition
6. Articulates/communicates clearly with eye contact.