Letter Sound Assessment Checklist Form
Checklist form for assessing a learner’s letter-sound recognition and production. Use this form to document observations and ratings during the assessment.
Learner's Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Letters Accurately Identified (check all that apply)
A
B
C
D
E
F
G
H
I
J
Other
Letter Sounds Accurately Produced (check all that apply)
A
B
C
D
E
F
G
H
I
J
Other
Overall Letter Recognition Accuracy
*
Excellent (all/most letters correct)
Good (few errors)
Developing (some errors)
Needs Support (many errors)
Overall Letter Sound Production Accuracy
*
Excellent (all/most sounds correct)
Good (few errors)
Developing (some errors)
Needs Support (many errors)
Recognition and Production Proficiency Matrix
*
Rows
Not Yet
Emerging
Proficient
Letter Naming
1
2
3
Letter Sounding
4
5
6
Blending Sounds
7
8
9
Segmenting Sounds
10
11
12
Observed Strengths in Letter-Sound Skills
Areas Needing Improvement
Additional Comments or Notes
Submit Assessment
Should be Empty: