The document is an assessment form for a 2nd grade student's writing level at the beginning of the school year. It includes sections to record the student's performance on dictation of words, a short text, numbers, and basic math problems. The student is also asked to draw a self-portrait on the back of the form.

1. ESCOLA MUNICIPAL PADRE JOSÉ DE ANCHIETA NÍVEL:__________
ALUNO:________________________________________ 2º ANO:________ DATA:___/___/___
AVALIAÇÃO DIAGNÓSTICA DE NÍVEL DE ESCRITA 1º BIMESTRE
DITADO DE PALAVRAS:
1._________________________________ 11.____________________________
2._________________________________ 12.____________________________
3._________________________________ 13.____________________________
4._________________________________ 14.____________________________
5._________________________________ 15.____________________________
6._________________________________ 16.____________________________
7._________________________________ 17.____________________________
8._________________________________ 18.____________________________
9._________________________________ 19.____________________________
10.________________________________ 20.____________________________
DITADO DE TEXTO:
DITADO DE NÚMEROS:
ADIÇÃO E SUBTRAÇÃO:
DESENHE VOCÊ NO VERSO DA FOLHA 