Preschool Student Skills Assessment Form
Child Name
First Name
Last Name
Age
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please select all that apply for the following skill sets
Social and Emotional Skills
Forms and maintains friendships
Initiates and maintains independent play
Enjoys participating in group activities
Can express emotions, needs and requests
Responds well to consistent routines and anticipates what comes next during the day
Follows rules and understands limits
Ask for help when he/she needs it
Practice basic self-care skills
Motor Skills
Develops gross motor coordination, for example navigates around obstacles
Begins to show left/right-handedness
Improves hand-eye coordination when playing, for example when building blocks and doing simple puzzles
Begins to improve pencil control by using fingers rather than the whole fist to grasp pencil and stylus
Reasoning & Concept Development
Shows interests in tinkering with objects, for example taking things apart and putting them back together
Develops object permanence
Remembers short sequences of events of 2 to 3 steps
Explores nature and animals
Language & Writing
Talk in complete sentences
Use descriptive language
Understands that words convey the message in a story
Knows the main characters in familiar stories
Knows some letters, numbers and distinguishes specific keywords
Uses accepted nouns, verbs and adjectives in familiar contexts
Identifies some shapes such as circle, square and triangle
Classifies or sorts objects into simple groups
Arts
Drawings have basic resemblance to objects and people
Likes to imitate sounds and rhythm; might have a favorite song
Uses realistic toys in pretend play or to imitate household routines
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