Does your child sing the alphabet song? Yes No
Can your child identify letters in their name? Yes No
Please point to each of the following letters individually and ask “What is this?” for both capital letters and lower
case letters.
Please circlethe letters your child can identify without help (note: this is not a skill that they need for
entry into the preschool program.)
Does your child recognize environmental print? For example, store or restaurant sign, etc.
Yes
No
Which signs does your child recognize?
Does your child know their colors? Yes No
When you point at colors or hold up crayons/markers, what colors can your child correctly name?
Can your child independently turn pages of a book one at a time?
Who reads to your child?
N M H Q W C U E J G K
D A X O F R T I V L Y Z
P B S
1 2 3 4 5 6 7 8 9
10
Does your child know their shapes?
Yes
No
If Yes, circle the shapes your child identify.
Does your child know their numbers?
Yes
No
If Yes, circlethe numbers your child can identify.
Yes No
n p y h r b u d a k e v g
i m c o q f t j l w z s x
