student response form

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Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 1 Student Response Form Student’s name Grade Your teacher wants to learn more about you as a reader. Here are some directions to remember: Please complete this assessment on your own. Do not ask for help or use anything (dictionaries, websites, etc.) to help you. Each time you read, please fill in your reading log below. When you reach a page with a sticky note, read to the bottom of the page. Stop and answer the question on your response form. Include as much detail as you can from the book to support your answer. (It is fine to reread, but do not read ahead.) Put the sticky note back in the book. Keep reading! READING LOG Teacher: Please fill out. Date Start Time End Time Start Page End Page Total Time Total Pages 7 Total 176 Because of Winn-Dixie by Kate DiCamillo

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Page 1: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 1

Student Response Form

Student’s name Grade

Your teacher wants to learn more about you as a reader. Here are some directions to remember:

◆Please complete this assessment on your own. Do not ask for help or use anything (dictionaries, websites, etc.) to help you.

◆Each time you read, please fill in your reading log below.

◆When you reach a page with a sticky note, read to the bottom of the page.

◆Stop and answer the question on your response form. Include as much detail as you can from the book to support your answer. (It is fine to reread, but do not read ahead.)

◆Put the sticky note back in the book.

◆Keep reading!

Reading LogTeacher: Please fill out.

date Start Time end Time Start Page end Page Total Time

Total Pages

7

Total 176

Because of Winn-dixieby Kate DiCamillo

Page 2: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 2

1. Page 25 What kind of person is Opal?

2. Page 25 What does Opal mean when she says, “I could see him thinking about pulling his head back into his shell”?

3. Page 30 How has Opal’s family affected her so far?

4. Page 68 When Opal says, “I could feel her listening with all her heart,” explain what she means.

E P A I

E P A I

E P A I

E P A I

Because of Winn-dixieby Kate DiCamillo

Page 3: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 3

5. Page 71 What kind of person is Gloria Dump? Why is she important to Opal?

6. Page 78 How are you seeing the preacher in a new way?

7. Page 81 What do you picture, based on the description on pages 79–81?

Because of Winn-dixieby Kate DiCamillo

E P A I

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Page 4: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 4

8. Page 91 What are Opal’s problems?

9. Page 109 Read the last line on this page. Use what you know about Opal from earlier chapters to explain why she says this.

10. Page 115 What does it mean to “taste” sorrow?

Because of Winn-dixieby Kate DiCamillo

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Page 5: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 5

11. Page 132 What do the lozenges and the events of this chapter teach Opal about everyone’s life?

12. Page 168 Why is this moment between Opal and her father important?

13. Page 183 What lesson or lessons has Opal learned?

Because of Winn-dixieby Kate DiCamillo

E P A I

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Page 6: Student Response Form

Independent Reading Assessment: Fiction © 2012 by Jennifer Serravallo • Scholastic Inc. 6

Reflection

Was this book easy, just right, or too hard?

How do you know?

Did you like this book?

Why or why not?

Would you choose another book like this from the library?

Why or why not?

Because of Winn-dixieby Kate DiCamillo