Name: Grade & Section:

School: Date: Performance Level:

WORD RECOGNITION
No. of words:

REMARKS:

ORAL READING

WORD O I S Repetition Reversal Mispronunciation OTHERS

REMARKS:

READING COMPREHENSION
QUESTION
o correct o incorrect no response
_____________________________________
o correct o incorrect no response
_____________________________________
o correct o incorrect no response
_____________________________________

o correct o incorrect no response

_____________________________________
REMARKS:

Diagnostician: Class Adviser:

Name: Grade & Section: Performance Level:
School: Date: Rater:

WORD RECOGNITION PERCENTAGE PERFORMANCE LEVEL

No. of word list:
No. of correct word:

ORAL READING PERCENTAGE PERFORMANCE LEVEL

No. of words in the passage:
No. of miscue:

READING COMPREHENSION PERCENTAGE PERFOMANCE LEVEL

No. of Questions:
No. of Correct Answers:
 WORD LIST ORAL READING READING COMPREHENSION
Grade I Grade I Grade I
No. of Words:15 No. of Words in the Passage: 50 No. of Questions: 4
Score Score Score
12 up--76%-Independent 5-----------10%----------Independent 4-----------100%------------
Independent
11--75%----Instructional 12----------25%----------Instructional 3-----------75%-------------
Instructional
10 below-74%-Frustration 38----------75%----------Frustration 2-----------50%-------------Frustration

Grade II Grade II Grade II

No. of Words: 18 No. of Words in the Passage: 75 No. of Questions: 4
Score Score Score
15 up-76%--Independent 8-----------10%---------Independent 4------------100%----------Independent
14--75%----Instructional 19----------25%---------Instructional 3------------75%------------
Instructional
13 below-74%Frustration 56----------75%---------Frustration 2------------50%------------Frustration

Grade III Grade III Grade III

No. of Words: 24 No. of Words in the Passage: 94 No. of Questions
Score Score Score
19 up--76%-Independent 9------------10%---------Independent 4------------100%-----------
Independent
18 ---75%--- 24-----------25%--------Instructional 3------------75%------------
Instructional Instructional
17 below-74%--Frustration 71-----------75%--------Frustration 2------------50%------------Frustration

PERFORMANCE INDICATOR

Oral Reading Reading Comprehension

INDEPENDENT INDEPENDENT =INDEPENDENT

INSTRUCTIONAL INDEPENDENT =INSTRUCTIONAL

INSTRUCTIONAL INSTRUCTIONAL =INSTRUCTIONAL

INSTRUCTIONAL FRUSTRATION =FRUSTRATION