Place a closed book on a table and ask:

Can you show me the

Can you show me how front cover of the Can you show me the
Student Name to hold this book? book? title of the book?

= correct

X = could not perform task

*Include any additional notes if necessary

 Open the book and ask:

When I
Can you tell Can you Can you come to the
me how show me show me end of this
Can you Can you many words where I which way I line/page,
Student show me a show me a are in this should start should go where do I
Name word? space? sentence? reading? when I read? go next?
 Open the book and ask:

Can you Can you

point to the point to the Can you
Can you Can you Can you first word in end of a find the end
point to point to an point to a a sentence? sentence? mark? Do
Student each word upper case lower case How did you How did you you know
Name as I read it? letter? letter? know? know? what it is?

The far columns are split for the allowance of the answer to both questions you will ask. Give a check
mark if they can answer the question correctly, give the second check mark if they can explain
correctly-or identify the correct item.