Walks forward on a straight lineNot yet Occasionally Consistently

Walks backward on a straight lineNot yet Occasionally Consistently

Walks sideways on a straight line (take a sideways step, then bring the otherfoot to meet the rst)

Not yet Occasionally Consistently

 Jumps on two feet, with both feet leaing the ground at the same timeNot yet Occasionally Consistently

!ops on one footNot yet Occasionally Consistently

"icks a stationary ball with accuracyNot yet Occasionally Consistently

 #hrows a ball with accuracyNot yet Occasionally Consistently

$kipsNot yet Occasionally Consistently

%resses himself Not yet Occasionally Consistently

Fine Motor

Correctly uses a fork&spoon to feed himself Not yet Occasionally Consistently

'laces multiple large beads on a stringNot yet Occasionally Consistently

Correctly uses scissors to cut a straight lineNot yet Occasionally Consistently

Correctly uses scissors to cut a circleNot yet Occasionally Consistently

ses the proper pincer grip to hold a pencil or crayonNot yet Occasionally Consistently

Correctly draws a circle and suareNot yet Occasionally Consistently

Correctly draws a triangle and an *Not yet Occasionally Consistently

ses the proper pincer grip to use twee+ers to pick up and holdsmall items

Not yet Occasionally Consistently

1

 

Auditory Processing

nderstands positional words (eample- up, down, beside, oer, under, near, far,high, low, etc.)

/01

words

203 words 45 words

6ollows one0step directions without needing directions repeated

Not

yet

Occasion

ally

Consisten

tly

6ollows multiple0step directions without needing directions repeated

Not

yet

Occasion

ally

Consisten

tly

7denties common sounds and&or can distinguish di8erent oices on the phone, radioor teleision (eample- car horn, train whistle, barking dog)

Not

yet

Occasion

ally

Consisten

tly

9esponds appropriately to basic uestions such as :Where are your shoes;: or :%oyou like pi++a;:

Not

yet

Occasion

ally

Consisten

tly