Second Edition
By Diane Bricker and Jane Squires
with assistance from Linda Mounts, LaWanda Potter, Robert Nickel, Elizabeth Twombly, and Jane Farrell
Copyright © 1999 by Paul H. Brookes Publishing Co.
On the following pages are questions about activities children do. Your child may have already done some of the activities described here, and there may be some your child has not begun doing yet. For each item, please check the box that tells whether your child is doing the activity regularly, sometimes, or not yet.
Please provide the following information.
Be sure to try each activity with your child.
Be sure to try each activity with your child.
If gross motor item 5 is marked "yes" or "sometimes," mark gross motor item 1 as "yes."
Be sure to try each activity with your child.
If fine motor item 6 is marked "yes" or "sometimes," mark fine motor item 2 as "yes."
Be sure to try each activity with your child.
Be sure to try each activity with your child.
Parents and providers may use the bottom of this page for additional comments.
Your information will be encrypted.