Oral Phonics Evaluation Form
Use this form to assess and record oral phonics skills in a structured, efficient manner. Please complete all sections accurately for each evaluation.
Evaluator Full Name
*
First Name
Last Name
Student Full Name
*
First Name
Last Name
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluation Context
*
Please Select
Classroom
One-on-one
Small group
Remote/Virtual
Other
Sound Recognition Accuracy
*
1
2
3
4
5
Blending Skills
*
1
2
3
4
5
Decoding Ability
*
1
2
3
4
5
Phonics Skills Matrix
*
Rows
Not Demonstrated
Emerging
Proficient
Advanced
Letter-Sound Correspondence
1
2
3
4
Initial Sound Identification
5
6
7
8
Final Sound Identification
9
10
11
12
Word Segmentation
13
14
15
16
Observed Error Types (select all that apply)
Sound substitutions
Omissions
Additions
Reversals
Other
Evaluator Comments / Recommendations
Submit Evaluation
Should be Empty: