3-6 HELP
Revised 01/2013
Helping Hands Preschool
Early Childhood Special Education
[Affiliated with Barton County Special Services]
2535 Lakin, Great Bend, KS 67530
620-793-1550 Fax – 620-793-1551
HELP (3-6) TEACHER REPORT (For 3 year Reevaluation)
Student:
DOB:
/
Grade:
P-3
P-4
Teacher/Examiner:
School:
Age:
:
/
P-5
Evaluation Observations and Results
Hawaii Early Learning Profile (HELP) Evaluation (3-6yr): Dates Administered:
/
/
-
/
/
The HELP is used to assess the student’s abilities. The HELP is a curriculum- and research-based, criterionreferenced assessment which aids in identifying his/her unique strengths and individual needs and appropriate
services required to meet those needs. The HELP also aids in identifying resources, priorities and concerns of the
family. The assessment is administered through direct observations of the student during daily activities and play
situations structured to elicit specific responses, and parent interview. Three of the six developmental domains on
the HELP were administered which include: Social, Self-Help and Cognitive.
I. Cognitive Domain looks at development of the child’s mental processes related to thinking, remembering,
and reasoning. These areas include: problem solving, concept development, spatial relationships, attention,
reading, and math readiness and writing skills.
Cognitive Sub-Domains
Skills consistent
to (months):
Problem
Solving/Reasoning
Matching & Sorting
Size
Associative
Attention
Reading Readiness
Math Readiness
Writing Skills
Dramatic Play
Time
Cognitive Domain
Total:
Skills scattered
to: (months)
Percent of Delay
Qualifies for Services
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
Yes
No
Cognitive Behavioral Observations: (Yes, No, Emerging)
Y N E
Short attention Span; Easily distracted
Demonstrates an ability to complete tasks and directions with minimal reminders or prompts
Demonstrates an ability to follow rules and routines with minimal verbal/physical prompts
Strengths - Cognitive Domain:
Page 1 of 4
3-6 HELP
Revised 01/2013
Emerging Functional Skills – Cognitive Domain:
Foundational Skills Not Yet Demonstrated in Cognitive Domain:
Teacher Observations/ Educational Impact – Cognitive Domain:
II. Social-Emotional Domain looks at how the child interacts and plays with adults and peers; expresses
emotions and feelings; demonstrates self-confidence and coping skills; and shows awareness of personal
welfare and safety.
Social Sub-Domains
Skills consistent
to: (months)
Skills scattered
to: (months)
Percent of Delay
Attachment/Adaptive
Self-Identification
Responsibility/Rules
Social Interactions/Play
Social Manners
Social Language
Personal Welfare/Safety
Social Domain Total:
Qualifies for Services
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
Behavioral/Social Emotional Observations: (Yes, No, Emerging)
Y N E
Complies with adult requests
Perseveres with challenging tasks or when frustrated
Demonstrates a willingness to try new tasks
Demonstrates an ability to transition (between activities, tasks, and locations)
Tolerates unexpected changes
Demonstrates an ability to self-calm when upset
Offers to help others in distress/demonstrates compassion
Engages in play
Interactions with peers:
Strengths - Social-Emotional Domain:
Emerging Functional Skills – Social-Emotional Domain:
Foundational Skills Not Yet Demonstrated in Social-Emotional Domain:
Page 2 of 4
3-6 HELP
Revised 01/2013
Teacher Observations/ Educational Impact – Social Domain:
III. Self-Help (Adaptive) Domain looks at how this child attends to his/her environment; dressing/undressing
skills; the ability to take care of eating and/or drinking needs; grooming and toileting skills; and personal
responsibility.
Self-Help Sub-Domains
Skills consistent
to (months):
Skills scattered
to:(months)
Percent of Delay
Qualifies for Services
Dressing
Undressing
Eating
Drinking
Grooming
Toileting
Oral-Hygiene
Nasal Hygiene
Self-Help Domain Total:
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
No
No
No
Strengths - Self-Help Domain:
Emerging Functional Skills – Self-Help Domain:
Foundational Skills Not Yet Demonstrated in Self-Help Domain:
Teacher Observations/ Educational Impact – Self Help Domain:
Summary of ECSE Skills Checklist (Basis skills, Pre-Reading skills, Pre-Math skills, Pre-Writing skills):
Child is demonstrating mastery of Pre-academic Skills.
See attached Preschool Checklist
See attached Kindergarten Checklist
Child is not demonstrating mastery of Pre-academic Skills.
See attached Preschool Checklist
See attached Kindergarten Checklist
Teacher Observations/ Educational Impact – Pre-academic Skills: (list strengths, weaknesses, areas of concern, etc.)
Page 3 of 4
3-6 HELP
Revised 01/2013
Recommendations:
/
Evaluator
Title/Position
/
Date
Page 4 of 4