Pre-Academic Skills Checklist Form
Assess a learner’s pre-academic readiness using this concise checklist. Please review each skill area and provide your observations.
Learner's First Name
*
Follows simple directions
*
Consistently
Sometimes
Rarely
Attends to a task for at least 5 minutes
*
Consistently
Sometimes
Rarely
Recognizes basic shapes and colors
*
All
Some
None
Can hold a pencil or crayon with control
*
Yes
With assistance
Not yet
Identifies own name in print
*
Yes
With prompts
Not yet
Demonstrates basic self-care (e.g., handwashing, putting away items)
*
Independently
With reminders
Needs assistance
Participates in group activities
*
Willingly
With encouragement
Reluctant
Expresses wants and needs verbally
*
Clearly
With prompting
Not yet
Responds to simple questions
*
Never
1
2
3
4
Always
5
1 is Never, 5 is Always
Additional comments or observations
Submit Checklist
Should be Empty: