Sound Deletion Assessment Packet
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 1 (Baseline)
PAGE 1 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'cat'." → Student: "cat" → Assessor: "Now say 'cat' without /k/." → Correct Target: "at"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | cat | /k/ /æ/ /t/ | "cat" without /k/ → "at" | | |
| 0 • 1 | | | | | |
| 2 | sun | /s/ /ʌ/ /n/ | "sun" without /s/ → "un" | | |
| 0 • 1 |
| 3 | bed | /b/ /ɛ/ /d/ | "bed" without /b/ → "ed" |
| 0 • 1 |
| 4 | mop | /m/ /ɒ/ /p/ | "mop" without /m/ → "op" |
| 0 • 1 |
| 5 | fin | /f/ /ɪ/ /n/ | "fin" without /f/ → "in" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | stop | /s/ /t/ /ɒ/ /p/ | "stop" without /s/ → "top" | | |
| 0 • 1 | | | | | |
| 7 | frog | /f/ /r/ /ɒ/ /ɡ/ | "frog" without /f/ → "rog" | | |
| 0 • 1 |
| 8 | hand | /h/ /æ/ /n/ /d/ | "hand" without /h/ → "and" |
| 0 • 1 |
| 9 | clap | /k/ /l/ /æ/ /p/ | "clap" without /k/ → "lap" |
| 0 • 1 |
| 10 | nest | /n/ /ɛ/ /s/ /t/ | "nest" without /n/ → "est" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 1
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 2 (Progress Check 1)
PAGE 2 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'pig'." → Student: "pig" → Assessor: "Now say 'pig' without /p/." → Correct Target: "ig"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | pig | /p/ /ɪ/ /ɡ/ | "pig" without /p/ → "ig" | | |
| 0 • 1 | | | | | |
| 2 | hat | /h/ /æ/ /t/ | "hat" without /h/ → "at" | | |
| 0 • 1 |
| 3 | rug | /r/ /ʌ/ /ɡ/ | "rug" without /r/ → "ug" |
| 0 • 1 |
| 4 | leg | /l/ /ɛ/ /ɡ/ | "leg" without /l/ → "eg" |
| 0 • 1 |
| 5 | dot | /d/ /ɒ/ /t/ | "dot" without /d/ → "ot" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | spin | /s/ /p/ /ɪ/ /n/ | "spin" without /s/ → "pin" | | |
| 0 • 1 | | | | | |
| 7 | drum | /d/ /r/ /ʌ/ /m/ | "drum" without /d/ → "rum" | | |
| 0 • 1 |
| 8 | lamp | /l/ /æ/ /m/ /p/ | "lamp" without /l/ → "amp" |
| 0 • 1 |
| 9 | flag | /f/ /l/ /æ/ /ɡ/ | "flag" without /f/ → "lag" |
| 0 • 1 |
| 10 | pink | /p/ /ɪ/ /ŋ/ /k/ | "pink" without /p/ → "ink" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 2
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 3 (Progress Check 2)
PAGE 3 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'cup'." → Student: "cup" → Assessor: "Now say 'cup' without /k/." → Correct Target: "up"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | cup | /k/ /ʌ/ /p/ | "cup" without /k/ → "up" | | |
| 0 • 1 | | | | | |
| 2 | ten | /t/ /ɛ/ /n/ | "ten" without /t/ → "en" | | |
| 0 • 1 |
| 3 | sit | /s/ /ɪ/ /t/ | "sit" without /s/ → "it" |
| 0 • 1 |
| 4 | bat | /b/ /æ/ /t/ | "bat" without /b/ → "at" |
| 0 • 1 |
| 5 | nod | /n/ /ɒ/ /d/ | "nod" without /n/ → "od" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | slip | /s/ /l/ /ɪ/ /p/ | "slip" without /s/ → "lip" | | |
| 0 • 1 | | | | | |
| 7 | crab | /k/ /r/ /æ/ /b/ | "crab" without /k/ → "rab" | | |
| 0 • 1 |
| 8 | tent | /t/ /ɛ/ /n/ /t/ | "tent" without /t/ → "ent" |
| 0 • 1 |
| 9 | glad | /ɡ/ /l/ /æ/ /d/ | "glad" without /ɡ/ → "lad" |
| 0 • 1 |
| 10 | milk | /m/ /ɪ/ /l/ /k/ | "milk" without /m/ → "ilk" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 3
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 4 (Progress Check 3)
PAGE 4 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'dog'." → Student: "dog" → Assessor: "Now say 'dog' without /d/." → Correct Target: "og"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | dog | /d/ /ɒ/ /ɡ/ | "dog" without /d/ → "og" | | |
| 0 • 1 | | | | | |
| 2 | mad | /m/ /æ/ /d/ | "mad" without /m/ → "ad" | | |
| 0 • 1 |
| 3 | win | /w/ /ɪ/ /n/ | "win" without /w/ → "in" |
| 0 • 1 |
| 4 | tub | /t/ /ʌ/ /b/ | "tub" without /t/ → "ub" |
| 0 • 1 |
| 5 | red | /r/ /ɛ/ /d/ | "red" without /r/ → "ed" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | spot | /s/ /p/ /ɒ/ /t/ | "spot" without /s/ → "pot" | | |
| 0 • 1 | | | | | |
| 7 | trip | /t/ /r/ /ɪ/ /p/ | "trip" without /t/ → "rip" | | |
| 0 • 1 |
| 8 | mask | /m/ /æ/ /s/ /k/ | "mask" without /m/ → "ask" |
| 0 • 1 |
| 9 | plug | /p/ /l/ /ʌ/ /ɡ/ | "plug" without /p/ → "lug" |
| 0 • 1 |
| 10 | pond | /p/ /ɒ/ /n/ /d/ | "pond" without /p/ → "ond" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 4
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 5 (Mid-Point Check)
PAGE 5 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'fan'." → Student: "fan" → Assessor: "Now say 'fan' without /f/." → Correct Target: "an"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | fan | /f/ /æ/ /n/ | "fan" without /f/ → "an" | | |
| 0 • 1 | | | | | |
| 2 | top | /t/ /ɒ/ /p/ | "top" without /t/ → "op" | | |
| 0 • 1 |
| 3 | bus | /b/ /ʌ/ /s/ | "bus" without /b/ → "us" |
| 0 • 1 |
| 4 | lip | /l/ /ɪ/ /p/ | "lip" without /l/ → "ip" |
| 0 • 1 |
| 5 | pen | /p/ /ɛ/ /n/ | "pen" without /p/ → "en" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | step | /s/ /t/ /ɛ/ /p/ | "step" without /s/ → "tep" | | |
| 0 • 1 | | | | | |
| 7 | grab | /ɡ/ /r/ /æ/ /b/ | "grab" without /ɡ/ → "rab" | | |
| 0 • 1 |
| 8 | camp | /k/ /æ/ /m/ /p/ | "camp" without /k/ → "amp" |
| 0 • 1 |
| 9 | flip | /f/ /l/ /ɪ/ /p/ | "flip" without /f/ → "lip" |
| 0 • 1 |
| 10 | sand | /s/ /æ/ /n/ /d/ | "sand" without /s/ → "and" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 5
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 6 (Progress Check 4)
PAGE 6 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'map'." → Student: "map" → Assessor: "Now say 'map' without /m/." → Correct Target: "ap"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | map | /m/ /æ/ /p/ | "map" without /m/ → "ap" | | |
| 0 • 1 | | | | | |
| 2 | fog | /f/ /ɒ/ /ɡ/ | "fog" without /f/ → "og" | | |
| 0 • 1 |
| 3 | nut | /n/ /ʌ/ /t/ | "nut" without /n/ → "ut" |
| 0 • 1 |
| 4 | rip | /r/ /ɪ/ /p/ | "rip" without /r/ → "ip" |
| 0 • 1 |
| 5 | wet | /w/ /ɛ/ /t/ | "wet" without /w/ → "et" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | stem | /s/ /t/ /ɛ/ /m/ | "stem" without /s/ → "tem" | | |
| 0 • 1 | | | | | |
| 7 | brag | /b/ /r/ /æ/ /ɡ/ | "brag" without /b/ → "rag" | | |
| 0 • 1 |
| 8 | jump | /dʒ/ /ʌ/ /m/ /p/ | "jump" without /dʒ/ → "ump" |
| 0 • 1 |
| 9 | sled | /s/ /l/ /ɛ/ /d/ | "sled" without /s/ → "led" |
| 0 • 1 |
| 10 | gift | /ɡ/ /ɪ/ /f/ /t/ | "gift" without /ɡ/ → "ift" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 6
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 7 (Progress Check 5)
PAGE 7 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'tap'." → Student: "tap" → Assessor: "Now say 'tap' without /t/." → Correct Target: "ap"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | tap | /t/ /æ/ /p/ | "tap" without /t/ → "ap" | | |
| 0 • 1 | | | | | |
| 2 | zip | /z/ /ɪ/ /p/ | "zip" without /z/ → "ip" | | |
| 0 • 1 |
| 3 | hot | /h/ /ɒ/ /t/ | "hot" without /h/ → "ot" |
| 0 • 1 |
| 4 | bun | /b/ /ʌ/ /n/ | "bun" without /b/ → "un" |
| 0 • 1 |
| 5 | men | /m/ /ɛ/ /n/ | "men" without /m/ → "en" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | swim | /s/ /w/ /ɪ/ /m/ | "swim" without /s/ → "wim" | | |
| 0 • 1 | | | | | |
| 7 | drip | /d/ /r/ /ɪ/ /p/ | "drip" without /d/ → "rip" | | |
| 0 • 1 |
| 8 | belt | /b/ /ɛ/ /l/ /t/ | "belt" without /b/ → "elt" |
| 0 • 1 |
| 9 | plan | /p/ /l/ /æ/ /n/ | "plan" without /p/ → "lan" |
| 0 • 1 |
| 10 | bend | /b/ /ɛ/ /n/ /d/ | "bend" without /b/ → "end" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 7
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 8 (Progress Check 6)
PAGE 8 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'cap'." → Student: "cap" → Assessor: "Now say 'cap' without /k/." → Correct Target: "ap"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | cap | /k/ /æ/ /p/ | "cap" without /k/ → "ap" | | |
| 0 • 1 | | | | | |
| 2 | pin | /p/ /ɪ/ /n/ | "pin" without /p/ → "in" | | |
| 0 • 1 |
| 3 | rob | /r/ /ɒ/ /b/ | "rob" without /r/ → "ob" |
| 0 • 1 |
| 4 | mud | /m/ /ʌ/ /d/ | "mud" without /m/ → "ud" |
| 0 • 1 |
| 5 | beg | /b/ /ɛ/ /ɡ/ | "beg" without /b/ → "eg" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | skip | /s/ /k/ /ɪ/ /p/ | "skip" without /s/ → "kip" | | |
| 0 • 1 | | | | | |
| 7 | crop | /k/ /r/ /ɒ/ /p/ | "crop" without /k/ → "rop" | | |
| 0 • 1 |
| 8 | hunt | /h/ /ʌ/ /n/ /t/ | "hunt" without /h/ → "unt" |
| 0 • 1 |
| 9 | slot | /s/ /l/ /ɒ/ /t/ | "slot" without /s/ → "lot" |
| 0 • 1 |
| 10 | wind | /w/ /ɪ/ /n/ /d/ | "wind" without /w/ → "ind" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 8
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 9 (Progress Check 7)
PAGE 9 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'pan'." → Student: "pan" → Assessor: "Now say 'pan' without /p/." → Correct Target: "an"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | pan | /p/ /æ/ /n/ | "pan" without /p/ → "an" | | |
| 0 • 1 | | | | | |
| 2 | dig | /d/ /ɪ/ /ɡ/ | "dig" without /d/ → "ig" | | |
| 0 • 1 |
| 3 | pot | /p/ /ɒ/ /t/ | "pot" without /p/ → "ot" |
| 0 • 1 |
| 4 | gum | /ɡ/ /ʌ/ /m/ | "gum" without /ɡ/ → "um" |
| 0 • 1 |
| 5 | hem | /h/ /ɛ/ /m/ | "hem" without /h/ → "em" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | snap | /s/ /n/ /æ/ /p/ | "snap" without /s/ → "nap" | | |
| 0 • 1 | | | | | |
| 7 | drop | /d/ /r/ /ɒ/ /p/ | "drop" without /d/ → "rop" | | |
| 0 • 1 |
| 8 | damp | /d/ /æ/ /m/ /p/ | "damp" without /d/ → "amp" |
| 0 • 1 |
| 9 | slap | /s/ /l/ /æ/ /p/ | "slap" without /s/ → "lap" |
| 0 • 1 |
| 10 | rust | /r/ /ʌ/ /s/ /t/ | "rust" without /r/ → "ust" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 9
Phonemic Awareness Data Collection
Initial Phoneme Deletion • Form 10 (Cumulative Mastery Assessment)
PAGE 10 OF 10
Student Name
Date
Assessor
Setting / Notes
Administrator Instructions:
Ask the student to repeat a word. Then ask the student to say the word again, but delete the first sound.
Example Script: Assessor: "Say 'tag'." → Student: "tag" → Assessor: "Now say 'tag' without /t/." → Correct Target: "ag"
Part A: 3-Sound Words (1 Syllable • CVC)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 1 | tag | /t/ /æ/ /ɡ/ | "tag" without /t/ → "ag" | | |
| 0 • 1 | | | | | |
| 2 | kit | /k/ /ɪ/ /t/ | "kit" without /k/ → "it" | | |
| 0 • 1 |
| 3 | rod | /r/ /ɒ/ /d/ | "rod" without /r/ → "od" |
| 0 • 1 |
| 4 | bug | /b/ /ʌ/ /ɡ/ | "bug" without /b/ → "ug" |
| 0 • 1 |
| 5 | set | /s/ /ɛ/ /t/ | "set" without /s/ → "et" |
| 0 • 1 |
Part B: 4-Sound Words (1 Syllable • Blends/Clusters)
5 Items
| # | Word | Phonemes | Prompt & Target | Student Answer | Score |
|---|
| 6 | trap | /t/ /r/ /æ/ /p/ | "trap" without /t/ → "rap" | | |
| 0 • 1 | | | | | |
| 7 | snub | /s/ /n/ /ʌ/ /b/ | "snub" without /s/ → "nub" | | |
| 0 • 1 |
| 8 | pump | /p/ /ʌ/ /m/ /p/ | "pump" without /p/ → "ump" |
| 0 • 1 |
| 9 | flat | /f/ /l/ /æ/ /t/ | "flat" without /f/ → "lat" |
| 0 • 1 |
| 10 | mend | /m/ /ɛ/ /n/ /d/ | "mend" without /m/ → "end" |
| 0 • 1 |
Part A (3-Sound) ___ / 5 (___ %)
Part B (4-Sound) ___ / 5 (___ %)
Total Score ___ / 10 (___ %)
Performance Tier: [ ] Benchmark (90-100%) [ ] Strategic (70-80%) [ ] Intensive (<70%) Phonemic Awareness Assessment • Form 10