######## Head Start National Reporting System

######## 

**Child Assessment Certification Form**

**Spring 2004**

######## 

  ---------------------- ------------------------- ----------- -----------
  **Date**                                         **Start     **End
                                                   Time**      Time**

  **Assessor Name**                                            

  **Head Start                                                 
  Center/Classroom**                                           

  **City/State**                                               

  **Observer Name**                                            
  ---------------------- ------------------------- ----------- -----------

*This page is intentionally blank.*

As the child assessment is administered, you will be observing the
assessor for instances of the following types of errors: straying from
the script, coaching, scoring errors, giving non-neutral encouragement,
and other errors in the administration of the assessment instruments.
For each section of the assessment, identify and record the frequency of
any errors that the assessors make. Frequency bubbles are provided for
you to easily record your observations. For example:

+------------------------------------+---------------------------------+
| At the first observed instance of  | At the second observed          |
| an error, check off or fill in     | instance, check off or fill in  |
| bubble 1:                          | bubble 2. Continue doing so     |
|                                    | until the section is complete.  |
|                               | So for an assessor who made 4   |
|                                    | errors, the frequency bubbles   |
|                               | should look like this:          |
|                                    |                                 |
|                                    |                            |
|                                    |                                 |
|                                    |                            |
+------------------------------------+---------------------------------+

Finally, sum up the number of errors that were committed in the box
provided. In the spaces provided, write any comments that might be
helpful in the review of this assessor. Please comment on things that
the assessor does well and things that the assessor does poorly. Both
types of feedback will be helpful for the assessor.

######## [Types of errors]{.underline}

**STRAYING FROM THE SCRIPT**: Questions and directions to all children
must be read [exactly]{.underline} as it is written in the script.
Frequency of straying from the script should be recorded in the
frequency bubbles. In addition, the actual script that the assessor
should be following is provided in the facing page opposite your scoring
sheet. You should follow along as the assessor administers each section
and circle any places where the assessor strays from the script. The
number of circles you make in the script and the total number of
frequency bubbles you check off should correspond.

**COACHING:** The following are examples of coaching during child
assessments:

-   Repeats the question when the child answers incorrectly.

-   Asks the child to answer the question again when the response is
    incorrect.

-   Gives neutral encouragement only after correct answers.

-   Nods or smiles meaningfully when the child answers correctly; does
    the opposite when the child answers incorrectly.

-   Hints by gestures or eye movements or words.

-   Places hand or finger on the correct response plate.

-   Makes comments such as "you know the answer," "do you want to try
    again?" "listen carefully to the question."

Frequency of these behaviors for each section should be recorded on this
form and the assessors should be told to correct these behaviors.

**SCORING ERRORS:** Failure to completely and/or accurately fill out the
scoring sheets should be recorded. Examples of scoring errors are:

-   Failure to make the marks as clear as possible or failure to fill
    out each bubble entirely.

-   Skipping items during the administration and/or skipping items on
    the scoring sheets.

Position yourself so that you can observe the child's responses to the
assessment items. Record the child's responses to each item of the
assessment in the space provided in this form. After the assessment,
compare your answer sheet with that of the observed assessor. Record the
frequency of scoring errors in the frequency bubbles.

**GIVING NON-NEUTRAL ENCOURAGEMENT:** Assessors should avoid giving
non-neutral encouragement throughout the assessment. Examples of
non-neutral encouragement are:

-   "That's right!"; "You are so smart!"; "That's wrong."

Frequency of these behaviors for each section should be recorded on this
form and the assessors should be told to correct these behaviors.

**OTHER ERRORS:** There are also errors that are specific to certain
sections of the assessments, such as pronouncing words incorrectly for
the PPVT. These errors are listed specifically for the relevant
assessment and their frequencies should be recorded.

# 

  --------- ---------------------------------------------------- ---------
                                                                 **Start
                                                                 Time**

                                                                 

  **Warm --                                                      
  Up**                                                           
  --------- ---------------------------------------------------- ---------

Now ... I have some pictures to show you and some things I will ask you
to do. Please listen carefully and do the best you can. Some of the
things I will ask you are hard even for older children, so don't worry
if you're not sure about them. Just give it your best try, OK?

  -----------------------------------------------------------------------
  **A. Simon Says**

  -----------------------------------------------------------------------

First, we're going to play a game called Simon Says. Simon is someone
who tells us what to do. You do exactly what Simon says.

**PRACTICE A.** Simon says look up. **(demonstrate look up)**

**PRACTICE B.** Simon says look down.

  -------------------------------------------------------------- --------- ----
                                                                           C E

  **A1.** Simon says touch your ear.                             **A1**     

  **A2.** Simon says point to the door.                          **A2**     

  **A3.** Simon says lift one foot.                              **A3**     

  **A4.** Simon says open your hand.                             **A4**     

  **A5.** Simon says pick up the paper.                          **A5**     

  **A6.** Simon says turn the paper over.                        **A6**     

  **A7.** Simon says put one hand on top of the other.           **A7**     

  **A8.** Simon says knock on the table.                         **A8**     

  **A9.** Simon says point to the middle of the paper.           **A9**     

  **A10.** Simon says put your feet together.                    **A10**    
  -------------------------------------------------------------- --------- ----

  -----------------------------------------------------------------------
  **B. Art Show**

  -----------------------------------------------------------------------

Now let's look at some pictures.

**PRACTICE A.** What is this? **(pointing to cat)** (*If incorrect:*
This is a cat.)

**PRACTICE B.** What is this? **(pointing to dog)** (*If incorrect:*
This is a dog.)

  --------------------------- ------------------------- ------------- ----
                                                                      C E

  **B1.** What is this?       **(pointing to apple)**   **B1 apple**   

  **B2.** What is this?       **(pointing to frog)**    **B2 frog**    

  **B3.** What is this?       **(pointing to pig)**     **B3 pig**     

  **B4.** What is this?       **(pointing to bee)**     **B4 bee**     

  **B5.** What is this?       **(circling book)**       **B5 book**    

  **B6.** What can you do     **(pointing to book)**    **B6 read,     
  with it?                                              look at it**  

  **B7.** What is this?       **(pointing to cup)**     **B7 cup,      
                                                        mug**         

  **B8.** What can you do     **(pointing to cup)**     **B8 drink**   
  with it?                                                            

  **B9.** What is this?       **(pointing to knife)**   **B9 knife**   

  **B10.** What can you do    **(pointing to knife)**   **B10 cut,     
  with it?                                              eat, spread** 
  --------------------------- ------------------------- ------------- ----

+-----------------+----------+---+----+---+-------------------------------+
| ########        |          |   |    |   |                               |
| # **ID Informat |          |   |    |   |                               |
| ion & Warm-Up** |          |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
|                 | F        |   | Er |   | **Comments:**                 |
|                 | requency |   | ro |   |                               |
|                 |          |   | rs |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
| **ID / Date     |      |   |    |   |                               |
| Coding**        |         |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
| **Errors:**     |      |   |    |   |                               |
|                 |         |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
|                 |          |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
| **Straying      |      |   |    |   |                               |
| From**          |         |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
| **The Script:** |      |   |    |   |                               |
|                 |         |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+
|                 |          |   |    |   |                               |
+-----------------+----------+---+----+---+-------------------------------+

  -------------------- ----------- -- -------- -- -------------------- ----- -----
  **Section A: Simon                                                         
  Says**                                                                     

                       Frequency      Errors      **Comments:**              

  **Straying From**                                                     

  **The Script:**                                                       

                                                                             

  **Coaching:**                                                         

                                                                        

                                                                             

  **Scoring Errors:**                                                   

                                                                        

                                                                             

  **Giving                                                              
  Non-Neutral**                                                              

  **Encouragement:**                                                    

                                                                             
  -------------------- ----------- -- -------- -- -------------------- ----- -----

+-----------------+---+-------+---+----+---+------------+-----------+----+
| ###             |   |       |   |    |   |            |           |    |
| ###### **Sectio |   |       |   |    |   |            |           |    |
| n B: Art Show** |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 | F |       |   | Er |   | **C        |           |    |
|                 | r |       |   | ro |   | omments:** |           |    |
|                 | e |       |   | rs |   |            |           |    |
|                 | q |       |   |    |   |            |           |    |
|                 | u |       |   |    |   |            |           |    |
|                 | e |       |   |    |   |            |           |    |
|                 | n |       |   |    |   |            |           |    |
|                 | c |       |   |    |   |            |           |    |
|                 | y |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Straying      |  |       |   |    |   |            |           |    |
| From**          |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **The Script:** |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Coaching:**   |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Scoring       |  |       |   |    |   |            |           |    |
| Errors:**       |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Giving        |  |       |   |    |   |            |           |    |
| Non-Neutral**   |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **E             |  |       |   |    |   |            |           |    |
| ncouragement:** |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Not Pointing  |  |       |   |    |   |            |           |    |
| at**            |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Pictures      |  |       |   |    |   |            |           |    |
| Correctly:**    |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Route         |  |       |   |    |   |            |           |    |
| Coding**        |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Errors:**     |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
|                 |  |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
|                 |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+
| **Section C:    |   |       |   |    |   |            |           |    |
| PPVT III        |   |       |   |    |   |            |           |    |
| (Adapted)**     |   |       |   |    |   |            |           |    |
+-----------------+---+-------+---+----+---+------------+-----------+----+

+---------------------------------------------------+---+------+------+
| **Read:**                                         | * |      | 1 2  |
|                                                   | * |      | 3 4  |
| Now, I want you to look at some pictures with me. | P |      | NR   |
| I'm going to say some words. For each word I say, | o |      |      |
| point to the picture that best shows what the     | i |      |      |
| word means. Let's try some.                       | n |      |      |
|                                                   | t |      |      |
| See all the pictures on this page? **(Gesture     | t |      |      |
| with circular motion at pictures)**               | o |      |      |
|                                                   | : |      |      |
| Put your finger on "ball".                        | * |      |      |
|                                                   | * |      |      |
| > *If correct, say:* Good! Let's try another one. |   |      |      |
| >                                                 |   |      |      |
| > *If incorrect, repeat until correct, point to   |   |      |      |
| > picture and say:* You tried, but this is        |   |      |      |
| > "ball". Now try again. Point to "ball".         |   |      |      |
|                                                   |   |      |      |
| Put your finger on "dog".                         |   |      |      |
|                                                   |   |      |      |
| > *If correct, say:* Good!                        |   |      |      |
| >                                                 |   |      |      |
| > *If incorrect, repeat until correct, point to   |   |      |      |
| > picture and say:* You tried, but this is "dog". |   |      |      |
| > Now try again. Point to "dog".                  |   |      |      |
|                                                   |   |      |      |
| Now look at all the pictures on this page.        |   |      |      |
| **(Gesture with circular motion at pictures)**    |   |      |      |
|                                                   |   |      |      |
| Point to "crying" OR Put your finger on "crying". |   |      |      |
| \*                                                |   |      |      |
|                                                   |   |      |      |
| > *If correct, say:* Good! Let's try another one. |   |      |      |
| >                                                 |   |      |      |
| > *If incorrect, repeat until correct, point to   |   |      |      |
| > picture and say:* You tried, but this is        |   |      |      |
| > "crying". Now try again. Point to "crying".     |   |      |      |
|                                                   |   |      |      |
| Point to "sleeping."                              |   |      |      |
|                                                   |   |      |      |
| > *If correct, say:* Good!                        |   |      |      |
| >                                                 |   |      |      |
| > *If incorrect, repeat until correct, point to   |   |      |      |
| > picture and say:* You tried, but this is        |   |      |      |
| > "sleeping". Now try again. Point to "sleeping". |   |      |      |
|                                                   |   |      |      |
| **C1-24.** Point to: \[word\]                     |   |      |      |
|                                                   |   |      |      |
| > *If child asks for correct answer, say:* For    |   |      |      |
| > now, I want to see what words you know without  |   |      |      |
| > my telling you. We'll talk about it later. I'll |   |      |      |
| > tell you after we're done, but let's keep going |   |      |      |
| > for now.                                        |   |      |      |
| >                                                 |   |      |      |
| > *If child is reluctant to answer, say:* It's    |   |      |      |
| > okay to guess.                                  |   |      |      |
| >                                                 |   |      |      |
| > **(Gesture with circular motion at pictures     |   |      |      |
| > when necessary)**                               |   |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Smel |  |
|                                                   | * | ling |  |
|                                                   | C |      |  |
|                                                   | 1 |      |  |
|                                                   | * |      |  |
|                                                   | * |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |      |
|                                                   |   |      |     |
|                                                   |   |      |  |
|                                                   |   |      |      |
|                                                   |   |      |   |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
|                                                   |   |      |  |
+---------------------------------------------------+---+------+------+
|                                                   | * | F    |      |
|                                                   | * | ence |      |
|                                                   | C |      |      |
|                                                   | 2 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Pen  |      |
|                                                   | * | guin |      |
|                                                   | C |      |      |
|                                                   | 3 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | E    |      |
|                                                   | * | mpty |      |
|                                                   | C |      |      |
|                                                   | 4 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Lamp |      |
|                                                   | * |      |      |
|                                                   | C |      |      |
|                                                   | 5 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | P    |      |
|                                                   | * | orcu |      |
|                                                   | C | pine |      |
|                                                   | 6 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Tea  |      |
|                                                   | * | ring |      |
|                                                   | C |      |      |
|                                                   | 7 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Foun |      |
|                                                   | * | tain |      |
|                                                   | C |      |      |
|                                                   | 8 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Acci |      |
|                                                   | * | dent |      |
|                                                   | C |      |      |
|                                                   | 9 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Jugg |      |
|                                                   | * | ling |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 0 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | G    |      |
|                                                   | * | roup |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 1 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | P    |      |
|                                                   | * | arac |      |
|                                                   | C | hute |      |
|                                                   | 1 |      |      |
|                                                   | 2 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | Y |      |      |
|                                                   | o |      |      |
|                                                   | u |      |      |
|                                                   | ' |      |      |
|                                                   | r |      |      |
|                                                   | e |      |      |
|                                                   | d |      |      |
|                                                   | o |      |      |
|                                                   | i |      |      |
|                                                   | n |      |      |
|                                                   | g |      |      |
|                                                   | a |      |      |
|                                                   | g |      |      |
|                                                   | o |      |      |
|                                                   | o |      |      |
|                                                   | d |      |      |
|                                                   | j |      |      |
|                                                   | o |      |      |
|                                                   | b |      |      |
|                                                   | p |      |      |
|                                                   | o |      |      |
|                                                   | i |      |      |
|                                                   | n |      |      |
|                                                   | t |      |      |
|                                                   | i |      |      |
|                                                   | n |      |      |
|                                                   | g |      |      |
|                                                   | ! |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Cage |      |
|                                                   | * |      |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 3 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | A    |      |
|                                                   | * | stro |      |
|                                                   | C | naut |      |
|                                                   | 1 |      |      |
|                                                   | 4 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Wri  |      |
|                                                   | * | ting |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 5 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | G    |      |
|                                                   | * | lobe |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 6 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Drum |      |
|                                                   | * |      |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 7 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | V    |      |
|                                                   | * | eget |      |
|                                                   | C | able |      |
|                                                   | 1 |      |      |
|                                                   | 8 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Veh  |      |
|                                                   | * | icle |      |
|                                                   | C |      |      |
|                                                   | 1 |      |      |
|                                                   | 9 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Kn   |      |
|                                                   | * | ight |      |
|                                                   | C |      |      |
|                                                   | 2 |      |      |
|                                                   | 0 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Fly  |      |
|                                                   | * |      |      |
|                                                   | C |      |      |
|                                                   | 2 |      |      |
|                                                   | 1 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | Lug  |      |
|                                                   | * | gage |      |
|                                                   | C |      |      |
|                                                   | 2 |      |      |
|                                                   | 2 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | S    |      |
|                                                   | * | elec |      |
|                                                   | C | ting |      |
|                                                   | 2 |      |      |
|                                                   | 3 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+
|                                                   | * | T    |      |
|                                                   | * | runk |      |
|                                                   | C |      |      |
|                                                   | 2 |      |      |
|                                                   | 4 |      |      |
|                                                   | * |      |      |
|                                                   | * |      |      |
+---------------------------------------------------+---+------+------+

  -----------------------------------------------------------------------
  **Section D: Letter Naming Task**

  -----------------------------------------------------------------------

+------------------------------------------------------+---+---+---+---+---+---+
| Here are some letters of the alphabet. Point to all  | P |   | P |   | P |   |
| the letters that you know and tell me the name of    | l |   | l |   | l |   |
| each one.                                            | a |   | a |   | a |   |
|                                                      | t |   | t |   | t |   |
|                                                      | e |   | e |   | e |   |
|                                                      | 1 |   | 2 |   | 3 |   |
+------------------------------------------------------+---+---+---+---+---+---+
| Go slowly and show me which letter you're naming.    | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
| > When child stops naming letters, say: Do you know  | A |   | F |   | H |   |
| > any others?                                        | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
|                                                      | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
|                                                      | B |   | G |   | I |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
| Here are some [more]{.underline} letters of the      | * |  | * |  | * |  |
| alphabet. Do you know any of these?                  | * |   | * |   | * |   |
|                                                      | C |   | K |   | J |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
| > When child stops naming letters, say: Any others?  | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
|                                                      | D |   | L |   | M |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
|                                                      | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
|                                                      | E |   | N |   | Q |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
| And here are [more]{.underline} letters of the       | * |  | * |  | * |  |
| alphabet. Do you know any of these?                  | * |   | * |   | * |   |
|                                                      | O |   | P |   | U |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
| > When child stops naming letters, say: Any others?  | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
|                                                      | S |   | R |   | V |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
|                                                      | * |  | * |  | * |  |
|                                                      | * |   | * |   | * |   |
|                                                      | X |   | T |   | W |   |
|                                                      | * |   | * |   | * |   |
|                                                      | * |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
|                                                      |   |   | * |  | * |  |
|                                                      |   |   | * |   | * |   |
|                                                      |   |   | Z |   | Y |   |
|                                                      |   |   | * |   | * |   |
|                                                      |   |   | * |   | * |   |
+------------------------------------------------------+---+---+---+---+---+---+
| *If the child points to "O" and says "zero", say:*   |   |   |   |   |   |   |
| That's the name of the number, what's the name of    |   |   |   |   |   |   |
| the letter?                                          |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+
| *If the child makes sound of letter (example "tuh"   |   |   |   |   |   |   |
| for T), say:* That's the sound of the letter, what's |   |   |   |   |   |   |
| the name of the letter?                              |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+
| *If the child begins pointing and naming too         |   |   |   |   |   |   |
| quickly, say:* Please point to them slowly, one at a |   |   |   |   |   |   |
| time, so I can see which one you're naming.          |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+
| *If the child says a non-English letter name, say:*  |   |   |   |   |   |   |
| Can you tell me the English name?                    |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+
| *If child says,* "No" *or does not respond, go to    |   |   |   |   |   |   |
| next page.*                                          |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+
|                                                      |   |   |   |   |   |   |
+------------------------------------------------------+---+---+---+---+---+---+

+-----------------+----------+---+----+---+------------+----------+------+
| #########       |          |   |    |   |            |          |      |
|  **Section C: P |          |   |    |   |            |          |      |
| PVT (Adapted)** |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 | F        |   | Er |   | **C        |          |      |
|                 | requency |   | ro |   | omments:** |          |      |
|                 |          |   | rs |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Straying      |      |   |    |   |            |          |      |
| From**          |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **The Script:** |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Coaching:**   |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Scoring       |      |   |    |   |            |          |      |
| Errors:**       |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Giving        |      |   |    |   |            |          |      |
| Non-Neutral**   |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **E             |      |   |    |   |            |          |      |
| ncouragement:** |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Pronouncing** |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Words         |      |   |    |   |            |          |      |
| Incorrectly:**  |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Using "a" or  |      |   |    |   |            |          |      |
| "the":**        |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |      |   |    |   |            |          |      |
|                 |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
|                 |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Not Pointing  |      |   |    |   |            |          |      |
| or**            |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Using         |      |   |    |   |            |          |      |
| Sweeping**      |         |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+
| **Hand          |          |   |    |   |            |          |      |
| Motion:**       |          |   |    |   |            |          |      |
+-----------------+----------+---+----+---+------------+----------+------+

<table style="width:100%;">
<colgroup>
<col style="width: 25%" />
<col style="width: 16%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 28%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 4%" />
<col style="width: 3%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="10"><p id="section-d-letter-naming"
class="heading"><strong>Section D: Letter Naming</strong></p></td>
</tr>
<tr class="even">
<td></td>
<td>Frequency</td>
<td></td>
<td>Errors</td>
<td></td>
<td rowspan="16"><strong>Comments:</strong></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td><strong>Straying From</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>The Script:</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Coaching:</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Scoring Errors:</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Giving Non-Neutral</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Encouragement:</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Not Slowing Down</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Child When</strong></td>
<td>    </td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Necessary:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

  -----------------------------------------------------------------------
  **Section E: Early Math Problems**

  -----------------------------------------------------------------------

You're such a good helper! Now I'm going to ask you some questions about
numbers and counting.

+-------------------------------------------------------+---------+---+
| **E1.** How many paintbrushes are on this page?       | **E1 2  | C |
|                                                       | br      | E |
|                                                       | ushes** |   |
|                                                       |         |  |
|                                                       | **E2 2  |  |
|                                                       | stars** |   |
|                                                       |         |  |
|                                                       | **E3 2  |  |
|                                                       | eggs**  |   |
|                                                       |         |  |
|                                                       | **E4 3  |  |
|                                                       | eggs**  |   |
|                                                       |         |  |
|                                                       | **E5    |  |
|                                                       | six**   |   |
|                                                       |         |  |
|                                                       | **E6    |  |
|                                                       | eight** |   |
|                                                       |         |  |
|                                                       | **E7    |  |
|                                                       | five**  |   |
|                                                       |         |  |
|                                                       | **E8    |  |
|                                                       | six**   |   |
|                                                       |         |  |
|                                                       | **E9    |  |
|                                                       | shape   |   |
|                                                       | (4)**   |  |
|                                                       |         |  |
|                                                       | **E10   |   |
|                                                       | crayon  |  |
|                                                       | (1)**   |  |
|                                                       |         |   |
|                                                       | **E11 4 |  |
|                                                       | fish**  |  |
|                                                       |         |   |
|                                                       | **E12 1 |  |
|                                                       | block** |  |
|                                                       |         |   |
|                                                       | **E13 2 |  |
|                                                       | bu      |  |
|                                                       | bbles** |   |
|                                                       |         |  |
|                                                       | **E14   |  |
|                                                       | seven** |   |
|                                                       |         |  |
|                                                       | **E15   |  |
|                                                       | Maria** |   |
|                                                       |         |  |
|                                                       | **E16   |  |
|                                                       | three** |   |
|                                                       |         |   |
|                                                       | **E17** |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E2.** How many stars are on this page?              |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E3.** Here are some nests with eggs in them. Point  |         |   |
| to the nest with two eggs.                            |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E4.** Now, point to the nest with three eggs.       |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E5.** How many eggs are there altogether?           |         |   |
| **(pointing in a sweeping motion)**                   |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E6.** What is this? *If the child does not respond  |         |   |
| or says the word "Number", say:*                      |         |   |
+-------------------------------------------------------+---------+---+
| Tell me what number this is.                          |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E7.** What is this? *If the child does not respond  |         |   |
| or says the word "Number", say:*                      |         |   |
+-------------------------------------------------------+---------+---+
| Tell me what number this is.                          |         |   |
+-------------------------------------------------------+---------+---+
|                                                       |         |   |
+-------------------------------------------------------+---------+---+
| **E8.** What is this? *If the child does not respond  |         |   |
| or says the word "Number", say:*                      |         |   |
+-------------------------------------------------------+---------+---+
| Tell me what number this is.                          |         |   |
+-------------------------------------------------------+---------+---+

**E9.** Look at these shapes. One of them is a triangle. Point to the
triangle. **(pointing in a sweeping motion)**

**E10.** You're a good pointer!

Which one of these crayons **(pointing in a sweeping motion to the
crayons)** is shorter than the brush?

**(point to the brush)** *If necessary, say:* Point to the crayon that
is shorter than the brush.

**E11.** Bobby has three fish **(point to fish bowl)**. His friend just
gave him one more

**(point to single fish)**. How many fish does Bobby have now?

**E12.** Pretend these are your blocks **(running finger across the
books)**. If you gave a friend two of these blocks, how many blocks will
you have left?

**E13.** When three of these bubbles pop **(circling all the bubbles)**,
how many bubbles will be left?

**E14.** Point to the number **(pointing in a sweeping motion to the
large numbers)** that shows

how many inches tall the teddybear is.

You're working hard, and I appreciate that! Thank you!

**E15.** This graph **(circling the graph)** shows how many times some
children used the computer last week. The children's names are Billy,
Luis, and Maria. **(pointing to each name as you say them)**

Point to the child who used the computer the most times.

**E16.** How many times did Billy use the computer last week?
**(pointing to the name "Billy")**

**E17.** When I say "go," I want you to start counting all these marbles
**(circling the marbles)**, starting here **(point to the upper left
marble)**. Point to each marble as you count. Ready? Go!

*If child stops counting at the end of the first row, say:* Keep
counting.

**End** Thank you! Now we're all done. You did a great job! I want to
thank you for helping me.

  ----------------------------------------------------- -----------------
                                                        **End Time**

                                                        

                                                        
  ----------------------------------------------------- -----------------

+-----------------+----------+---+----+---+------------+----------+-----+
| #####           |          |   |    |   |            |          |     |
| #### **Section  |          |   |    |   |            |          |     |
| E: Early Math** |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 | F        |   | Er |   | **C        |          |     |
|                 | requency |   | ro |   | omments:** |          |     |
|                 |          |   | rs |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Straying      |      |   |    |   |            |          |     |
| From**          |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **The Script:** |      |   |    |   |            |          |     |
|                 |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Coaching:**   |      |   |    |   |            |          |     |
|                 |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |      |   |    |   |            |          |     |
|                 |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Scoring       |      |   |    |   |            |          |     |
| Errors:**       |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |      |   |    |   |            |          |     |
|                 |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Giving        |      |   |    |   |            |          |     |
| Non-Neutral**   |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **E             |      |   |    |   |            |          |     |
| ncouragement:** |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
|                 |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Not Pointing  |      |   |    |   |            |          |     |
| or**            |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Using         |      |   |    |   |            |          |     |
| Sweeping**      |         |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+
| **Hand          |          |   |    |   |            |          |     |
| Motion:**       |          |   |    |   |            |          |     |
+-----------------+----------+---+----+---+------------+----------+-----+

########  

**[Summary]{.underline}**

At the end of the assessment, enter the number of each error type from
each section in the appropriate boxes below. [KEEP EACH ERROR TYPE
SEPARATE]{.underline}. For instance, when entering the number of errors
for "straying from the script," be certain to enter only the frequencies
that pertain to "straying from the script," not some other error type.
Once all of the appropriate boxes are filled, add up the number of
occurrences of each error type across sections, and enter those totals
in the boxes marked "total."

<table style="width:100%;">
<colgroup>
<col style="width: 28%" />
<col style="width: 2%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 2%" />
<col style="width: 7%" />
<col style="width: 1%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="18"><p id="summary-warm-up-and-sections-a-through-e"
class="heading"><strong>Summary (Warm-Up and Sections A through
E)</strong></p></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td><p><strong>Warm</strong></p>
<p><strong>Up</strong></p></td>
<td></td>
<td><strong>A</strong></td>
<td></td>
<td><strong>B</strong></td>
<td></td>
<td><strong>C</strong></td>
<td></td>
<td><strong>D</strong></td>
<td></td>
<td><strong>E</strong></td>
<td></td>
<td><strong>Total</strong></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Straying From</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>=</strong></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>The Script:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Coaching:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>=</strong></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Scoring Errors:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>=</strong></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td><strong>Giving Non-Neutral</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>=</strong></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Encouragement:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Other Errors:</strong></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>+</strong></td>
<td></td>
<td><strong>=</strong></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td>(ID / Date Coding Errors;</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td>Not Pointing at Pictures Correctly; Route Coding Errors; Pronouncing
Words Incorrectly; Using “a” or “the”; Not Pointing or Using Sweeping
Hand Motion; Not Slowing Down Child When Necessary)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
</tbody>
</table>

  -----------------------------------------------------------------------
  Overall Comments:

  -----------------------------------------------------------------------

Once you have totaled up the number of each type of error, assign a
rating to each of the types of error according to the following table:

  ---------------------------------- ------------------------------------
  **If assessor commits a total of   **then assign a rating of...**
  ...**                              

  0 -- 2 errors                      5

  3 -- 5 errors                      4

  6 -- 8 errors                      3

  9 -- 11 errors                     2

  12 or more errors                  1
  ---------------------------------- ------------------------------------

Indicate your rating for each error type by circling the corresponding
number in the box marked "Certification Scoring." Next, multiply each
rating by 4, and add up your results. Enter this final number in the box
marked "Total."

<table style="width:100%;">
<colgroup>
<col style="width: 15%" />
<col style="width: 10%" />
<col style="width: 2%" />
<col style="width: 16%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 17%" />
<col style="width: 2%" />
<col style="width: 6%" />
<col style="width: 11%" />
<col style="width: 12%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="4"></td>
<td colspan="7"></td>
</tr>
<tr class="even">
<td colspan="11"><p id="certification-scoring"
class="heading"><strong>Certification Scoring</strong></p></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td rowspan="17"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"><strong>STRAYING FROM THE SCRIPT:</strong></td>
<td colspan="3"><strong>1 2 3 4 5</strong></td>
<td><strong>X 4</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"><strong>COACHING:</strong></td>
<td colspan="3"><strong>1 2 3 4 5</strong></td>
<td><strong>X 4</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"><strong>SCORING ERRORS:</strong></td>
<td colspan="3"><strong>1 2 3 4 5</strong></td>
<td><strong>X 4</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"><strong>GIVING NON-NEUTRAL</strong></td>
<td colspan="3"><strong>1 2 3 4 5</strong></td>
<td><strong>X 4</strong></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"><strong>ENCOURAGEMENT:</strong></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"><strong>OTHER ERRORS:</strong></td>
<td colspan="3"><strong>1 2 3 4 5</strong></td>
<td><strong>X 4</strong></td>
<td></td>
</tr>
<tr class="even">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="5"></td>
<td colspan="3"></td>
<td></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"><strong>Total:</strong></td>
<td></td>
</tr>
<tr class="odd">
<td></td>
<td><sup>(check one)</sup></td>
<td></td>
<td colspan="4"><sup>Observer’s Signature</sup></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Certified</strong></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="odd">
<td><strong>Not Certified</strong></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td></td>
<td colspan="2"></td>
<td></td>
</tr>
</tbody>
</table>