| Listening Capacity If Applicable | Initial | Final |
| Overall Passage: Independent Level | Narrative _______________ Expository ______________ | Narrative ______________ Expository ____________ |
| Overall Passage: Instructional Level | Narrative _______________ Expository ______________ | Narrative ______________ Expository ____________ |
| Overall Passage: Frustration Level | Narrative _______________ Expository ______________ | Narrative ______________ Expository ____________ |