Progress Report
Assessment
period:
January—May 2004
Starting date: April 28, 2003
Ali Azlan
Attendance: 51/80
Age: 8 :
May 18, 2004
Classroom: Lilies
Teacher: Ms. Naveen Wahid
Please
utilize the following key to interpret this assessment:
M:
Most of the time
S:
Some of the time-
D:
Difficult area
E: Requires more encouragement/
experience
N/A: Not applicable
at this time
D/62, Block 5, Clifton, Karachi. Tel: 587-5525
The following section offers an Occupational Therapy assessment
Attending Skills
Ali sits in a chair independently.
(Most of the time)
Ali makes eye contact
in response to name. (Most of the time)
Ali makes eye contact
when given the instruction look at me. (Most of the time)
Ali responds to the direction charms down. (Most of the time)
Ali Sustains eye contact
for 5 seconds in response to name. (Most of the time)
Ali Makes eye coned in
response to name from a distance. (Most of the time)
Imitation Skills
Imitates gross motor movements.
(Most of the time)
Imitates actions watts
objects. (some of the
Time)
Imitates fine motor movements.
(Most of the time)
Imitates oral motor movements. (Most of the time)
Imitates gross motor movements
from a siding position. (Most of the time)
Self-help Skill:
Drinks from a cup.
(Most of the time)
Uses fork and spoon when
eating. (Most of the time)
Ali Removes:
· Shoes : (Most
of the time)
· Socks : (Most of the time)
· Pants : (Difficult area)
·
Shirt : (Requires more encouragement/
experience)
Ali Puts on:
·
Pants
(Requires more encouragement/ experience)
· Shirt (Requires
more encouragement/ experience)
· Shoes (Most of the
time)
·
Socks (Most of the time)
Uses
napkin I tissue. (Most of
the time)
Washes hands. (Most
of the time)
Is toilet-trained for urination. (Most of the time)
Is toilet trained for
bowel movements. (Requires more encouragement/ experience)
Self initiates for bathroom. (Requires more encouragement/ experience)
Comments:
Improve motor planning by encouraging imitation and gestures.
Provide practice for balance and equilibrium with a balancing beam and ladder.
Encourage interaction and development of positive attitudes towards others.
Encourage self care activities or daily living tasks including brushing teeth, combing,
dressing, toileting, and feeding.
Iifat Zehra _
May 14, 2004
Occupational Therapist