Educational Vision Evaluation

Evaluation Resources for Teachers of the Visually Impaired

These are forms that are created by Braille Innovations and are free as PDFs. If you'd like an accessible copy, please visit our Square site for a paid download that will give you access to editable Word documents. 

As always, your feedback is welcome at brailleinnovations@gmail.com 

1. Preparation and Summary Forms


EVE Information Form.pdf

Evaluation Information Form

EVE Evaluation Report.pdf

Evaluation Report

EI Eval template

Early Intervention Eval Template

2. Observation and Interview Forms


EVE Parent Interview.pdf

Parent Interview

EVE Student interview.pdf

Student Interview

EVE Student Observation Form.pdf

Student Observation

EVE Teacher interview.pdf

Teacher Interview

3. Sensory Assessment


EVE Magic Tactile Bag.pdf

Tactile Bag

EVE MH Sensory.pdf

Sensory for MH

EVE Sensory Learning Assessment.pdf

Sensory Form

Functional Hearing.pdf

Functional Hearing

     3a. Functional Vision Assessment


EVE Functional Vision Assessment form.pdf

FVA form

EVE Color strip ID.pdf

Color strip test

EVE Color sentences to copy from distance.pdf

Color sentences for distance copying

     3b. Cortical Vision Impairment

These are forms I created to help me utilize Christine Roman-Lantzy's CVI Range Assessment. See her book Cortical Visual Impairment An Approach to Assessment and Intervention for information about how to score and utilize her CVI Range Assessment.

EVE CVI Screening Interview.pdf

CVI Screening Interview

EVE CVI Parameter summary sheet.pdf

CVI Range II Parameter form

CVI Visual Behaviors

CVI Visual Behaviors

4. Expanded Core Curriculum

Career, Sensory, Compensatory, Rec Leisure, Social, Daily Living, O&M/PE, Self Determination, Technology

EVE ECC Opening Summary.pdf

ECC Opening Summary

EVE ECC Career.pdf

ECC Career

EVE ECC Sensory Efficiency.pdf

ECC Sensory Skills

EVE ECC Compensatory.pdf

ECC Compensatory

EVE ECC Rec Leisure.pdf

ECC Rec Leisure

EVE ECC Social skills.pdf

ECC Social Skills

EVE Independent Living.pdf

ECC Daily Living Skills

EVE O_M and PE.pdf

ECC O&M and PE

ECC Self Determination.pdf

Self Determination

EVE ECC Tech.pdf

Assistive Tech

Deafblind ECC

Deafblind ECC

ECC Birth to 3

ECC for Birth-3 y.o.

5. Literacy Assessment


EVE Literacy Media Performance Summary Sheet.pdf

Literacy Media Performance Summary Sheet

Speed _ Accuracy summary sheet.pdf

Speed and Accuracy Comparison

Communication for Early Language Learners.pdf

Communication for Early Language Learners

Assistive Technology

EVE AT Recomm Form.pdf

Assistive Tech Recommendations

Communication Resources

Communication Supports Inventory 

http://www.icfcy.org/aac

Communication Matrix  www.communicationmatrix.org/

Determining Services

Other Assessment Resources


E.A. Rubric - Essential Assessments for Children Who are Blind or Visually Impaired 

earubric.com