Dibels Literacy Skills Assessment Form - Fifth Grade printable pdf download

Fifth Grade

All students at our school are screened for reading difficulties three times a year using the

Dynamic Indicators of Basic Early Literacy Skills (DIBELS) Next. This is one assessment that

helps us identify students who may need extra help in learning the skills needed to become a

strong reader. Your child’s performance on this assessment follows:

Fall

Winter

Spring

DIBELS Oral Reading Fluency

WC: ______ (111)

WC: ______ (120)

WC: ______ (130)

(DORF)

Accuracy: _____ (98%)

Accuracy: _____ (99%)

Retell: ______ (33)

Retell: ______ (36)

Quality/Retell: _____(2)

Quality/Retell: _____(3)

DAZE

_______ (18)

_______ (20)

_______ (24)

Composite Score

_______ (357)

_______ (372)

_______ (415)

Instructional

Recommendations

The results of this assessment indicate:

Numbers in parentheses indicate expected performance

Your child is on track for achieving grade level reading benchmark standards

Your child may need some extra help achieving grade level benchmark standards

Teacher Comments:

DIBELS Oral Reading Fluency (DORF)

On the DORF assessment, your child will read three passages appropriate for his/her grade level for one minute and

then asked to retell what was read. The teacher will calculate the words read correctly (Words Correct– WC), your

child’s accuracy rate, and the number of words your child uses to appropriately retell what was read. Retelling the story

or text is important because it gives the teacher an indication if your child not only can read the words, but can

understand what he/she is reading as well. The median WC, accuracy and retell will be used as your child’s score on

this assessment. The teacher may also judge the quality of your child’s retell on a 1-4 scale (1– 2 or fewer details; 4– 3

or more details that captures the main idea). Although this scale is not used to determine your child’s overall score, it

provides helpful information for instruction.

DAZE

The DAZE is a measure of your child’s ability to understand what he/she reads.

This assessment is typically

administered to the whole class at the same time. Your child will be asked to silently read a grade level passage for 3

minutes.

Every seventh word in the passage has been replaced by a box containing the correct word and two

“distractor” words. Credit is given for each correct answer.

Composite Score

The Composite Score is a combination of the assessments and provides the best overall estimate of your child’s reading

proficiency.

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Dibels Literacy Skills Assessment Form - Fifth Grade

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