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Domains
GROSS MOTOR 1. Runs without tripping 2. Jumps in place in both feet 3. Hops 1-3 steps in preferred foot 4. Skips with alternating feet
5. Moves body part as directed/Throws ball overhead with direction

Nickname of the Child

FINE MOTOR 6. Holds crayons/pencils and scribbles spontaneously 7. Scribbles vertical and horizontal lines 8. Draws a human figure 9. Draws a house 10. Colors within the line RECEPTIVE/EXPRESSIVE LANGUAGE 11. Answers questions about oneself
12. Uses simple greetings and courteous expressions in appropriate manner 13. Follows one-step direction with simple prepositions (e.g., in, on, under, etc.)

14. Follows 2-step directions in identifying objects in terms of position

15. Name 4-6 colors COGNITIVE - Sensory Discrimination and Seriation/Classification 16. Discriminates texture 17. Arrange objects according to size from smallest to biggest 18. Sort objects based on two attributes 19. Identifies same and different shapes 20. Draws geometric forms COGNITIVE Concept Formation 21. groups and state functions of common household items 22. shows/points to left and right sides of body 23. completes statements in showing simple analogy
24. Identifies absurdities in pictures (e.g.,Ano ang mali sa larawang ito?)

25. Conserves Number NUMERACY 26. Points out which has more or less 27. Counts up to 10 objects 28. Sequences numerals 1 10 29. Identifies the missing number in sequence 30. Adds and subtracts combinations to 10 Reading Readiness 31. Identifies the missing part of picture/object 32. Recites or sings the alphabet 33. Names upper and lower case letters 34. Matches letter with sound of letter 35. Reads 3-4 letter words 36. Sequences events in pictures 37. Identifies pictures that are the same 38. Identifies letters that are different 39. Identifies words that are the same 40. Associate word with picture CONSTRUCTION AND VISUAL MOTOR INTEGRATION 41. Replicates a pattern by drawing 42. Copies letter/numeral from model 43. Identifies the missing object in a given pattern
44. Identifies the picture that gives the appropriate ending of events/situations

45. Assembles simple puzzles TOTAL MASTERED SKILLS/DOMAIN READY (Y) YES

(N) NO

NOTE: Passing score is 34 which is 75% of the highest possible score (45). A child who got the score of 34 and above is READY while the child with the score of 33 and below is considered as NOT READY to perform Grade One work. (Checklist for the Character Traits is not included in the computation.) Instruction: When the child exhibits the skill, put a check (/) in the corresponding skill. Put a hyphen (-) if the child cannot perform the task. Reference: School Readiness Assessment (SreA) Tool.