Getting Started 2c – LEARNING READINESS TESTING RESULTS Form

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LEARNING READINESS TESTING RESULTS

Name_____________________________DOB____________Date____________

Parent___________________________Phone/Email_______________________

Test 1 – a. Pupil Dilation – Left: Fair Good Right: Fair Good

B. Tracing to Left: Fair Good Tracking to Right: Fair Good

ID: Bird Horse Apple House Man Mother & Child

Test 2: A. Reaction to Loud Noise Fair Good

B. History of reaction to threatening noises? Yes No

C. Left ear Whisper Check: Unsatisfactory Satisfactory

D. Right Ear Whisper Check: Unsatisfactory Satisfactory

E. Babinski reflex: Immature Mature

F. Is there a normal reaction to painful stimuli? Yes No

Test 3: Bilateral Army Crawl: (Youtube) Proficient Needs Work

Test 4: A. As an infant or young child, did you child consistently cry as a response to threatening sounds or events? Yes No

B. Can your child grasp an object with his Left Hand? Right hand?

C. Is he able to release that object? Left hand? Right hand?

Test 5: More on Visual Acuity

A. Vertical tracking: up Fair Good Down: Fair Good

B. Depth perception: Test 1 I finger 2 fingers
(SITE TEST)
Test 2 Circle merges Does not merge

Test 6: Language Development Chart: On Age Level Above Below

B. Does your child react appropriately to changes in your voice? Y N

1 – Close eyes, stick out tongue, lick you lips Followed? Yes No

2 – Know age? Yes no

3 – Tell a story about a picture Fair Good

4 – Time concepts: Morning afternoon Night Yesterday

Tomorrow Today Later After While

(Rest in English Testing)

Test 7: Tactile – 5 small objects in sack or box. Pick by feel. Fair Good

Put five objects of the same type, is spoons, and pick out by size.

Fair Good

Test 8: A. Bilateral Creeping Fair Good

B. Bilateral Walking Fair Good

C. Bilateral Running Fair Good

Test 9. A. Bilateral skipping Fair Good

Test 10. Can the child pick-up a pen, pencil, crayon and use it correctly?

Analysis of Grip (Site) Fair Good