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Classroom Based Assessment Form

Allows teachers to record a student's performance in reading, writing, and math during classroom activities.

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Student Name

Nombre

Apellido

Teacher Name*

Nombre

Apellido

Word Attack/Phonics*

Excellent Good Fair Needs Improvement

Word Recognition*

Excellent Good Fair Needs Improvement

Reading Comprehension

Excellent Good Fair Needs Improvement

Additional information about the student's reading skills

Spelling

Excellent Good Fair Needs Improvement

Sentence Structure

Excellent Good Fair Needs Improvement

Punctuation

Excellent Good Fair Needs Improvement

Grammar

Excellent Good Fair Needs Improvement

Paragraph/Essay Writing

Excellent Good Fair Needs Improvement

Additional information about the student's writing skills

Number Sense

Excellent Good Fair Needs Improvement

Basic Calculation

Excellent Good Fair Needs Improvement

Problem Solving

Excellent Good Fair Needs Improvement

Additional information about the student's math skills

Motivational Level (overall)

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

General Participation Level

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Ability to Follow Instructions

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Organizational Abilities

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Classwork Completion

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

On-Task Behavior

★ 1 star ★ 2 stars ★ 3 stars ★ 4 stars ★ 5 stars

Additional Comments

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