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* 1. Your Name

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* 2. Your Child's Name and Date of Birth

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* 3. Your Phone Number and e-mail address

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* 4. Does your child follow 3-4 oral directions in a sequence?

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* 5. Does your child correctly answer questions about grade-level story?

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* 6. Does you child use language to inform, persuade, and entertain?

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* 7. Does your child say all sounds expected in speech?

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* 8. Does your child give directions with 3-4 steps, ask and answer “wh” questions, and explain key elements of a story?

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* 9. Does your child use a variety of sentence types in writing (questions, statements, etc)

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* 10. Does your child start, stay on topic, and take turns in
conversations?

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