Professional Documents
Culture Documents
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Nickname: ________________Date of Birth:_________________________ Age: _______Sex:
GROSS MOTOR
SCOR COMMEN
TS
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E
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COMME
NTS
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COMME
NTS
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RECEPTIVE LANGUAGE
RECEPTIVE LANGUAGE
SCOR
E
Points to family members
when asked to do so.
Points to 5 body parts on
himself when asked to do so.
Points 5 named picturd objects
when asked to do so.
Follws one-step instructions
that include simple
prepositions (e.g. in, on, under,
etc.)
COMMEN
TS
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COGNITIVE DOMAIN
COGNITIVE
PRESE
NT
Looks at direction of fallen object.
Looks dor partially hidden object.
Immitates behavior just seen a
few minutes earlier.
Offers object but will not release
it.
Looks for completely hidden
object.
Exhibits simple pretend play
(feed, put doll to slep).
Matches objects.
Matches 2-3 colors.
Matches pictures.
Sorts based on shapes.
Sorts objects based on 2
attributes (e.g. size and color).
Arranges objects according to
size from smallest to biggest>
COMMEN
TS
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Demonstrates an understanding
of opposites by completing a
statement (e.g. Ang aso ay
malaki. Ang daga ay maliit.)
Points to left and right side of the
body.
Can state what is silly on wrong
with pictures (e.g. Ano ang mali
sa larawang ito?)
Matches upper and lower case
letters.
TOTAL SCORE
COMMEN
TS
1.
2.
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6.
COOME
NTS
FINE
SELF-HELP
RECEPTIVE
EXPRESSIV
E
COGNITIVE
SOCIOEMOTIONA
L