Free Reading Evaluation

Complete the information below to begin your free reading evaluation.

We do not give your information out to any other entity nor will we contact you without your permission. We need detailed information to determine the type of materials your child will need.

    Parent/Guardian Information

    Name*

    Email*

    Home Phone

    Cell Phone

    Address

    City

    State

    Zip Code

    Child Information

    Name*

    Age*

    Birth Date*

    Current Grade*

    Reasons for Evaluation (check all that apply)

    Parent concerns about readingPossible retentionChild’s teacher concerns about readingMaintain learned skillsProgress ahead of grade level

    Brief History (check all that apply)

    Reoccurring ear infectionsHearing lossLate in talkingDevelopmentally delayedPremature birthTwins or multiplesVision problemsFamily history of dyslexia

    Educational History (check all that apply)

    Additional year of schoolAdditional reading help at schoolSpeech therapySight word approach to readingDiagnosed learning challenge

    Additional Information or Concerns

    Next Step (Optional)

    Feel free to skip this step and submit this form below

    This evaluation is meant to assess an accurate view of your child’s current capabilities.

    Do not give assistance to your child on this evaluation. Accuracy is important to us when determining a starting point for your child’s tutoring experience.

    If your child misses the first several items in a section, and it is clear that they cannot identify the item correctly you may stop. There is no need to continue until they are not frustrated.

    Step 1: Sounds

    Write each of these letters, one at a time, largely and in lower case on paper. Ask your child to tell you the sound that each letter makes. Mark any incorrect responses.

    tabsegpidhkvucflmnorjw

    Step 2: Sounds

    Follow the same instructions for the following sounds. Mark any incorrect responses.

    chshthwhquckyz

    Step 3: Rhyming Words

    Remind your child that a rhyme happens when two words have the same ending sound. Discuss some simple examples (i.e. cat-hat, stick-trick, boat-goat..) Ask you child the following rhyming words in the suggested question format. Mark any incorrect responses.

    EXAMPLE: Cat. “Tell me a word that rhymes with cat. Give me real words.”

    batredsitplugtwigtoymightothershoes

    Please select the following true statements.

    My child answered slowly.My child answered using the order of ABC's.

    Step 4: Blending Sounds

    Tell your child that you are going to blend some words together. You will give your child separated sounds and he/she will blend them together to create a word. Mark any incorrect responses.

    m--a--pd--o--gsh--ir--tg--oa--tfl--i--pn--o--s--e

    Step 5: Reading Words

    Print these words, one at a time, neatly on paper. Your child should sound them out. Mark any incorrect responses on this form. Mark any incorrect responses.

    satnaptancrabtrapfrogfishstuckstep

    Step 6: Reading Sentences

    Neatly write the sentence on paper one at a time. Ask your child to read the following sentences. Mark all incorrect or missed words. If they miss every word in a sentence, stop. Mark any incorrect responses.

    The bat can tap.The crab traps the plant.The pest slept in a tent.Brad went to grill a fish.She plays with the huge kite.

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