Your Mendability account will, in the near future, give you access to an interactive page with proper space for your checkmark.

Now that we are Joint Commission certified – which means we are part of the accredited therapies, we are bound to request that each parent sets goals expressing what they wish to accomplish in their therapeutic project with their child.

This is a personal and independent process which allows you to review all the areas of development which may need work and focus.

Your coach will integrate your goals into your child’s background in the system and they will be marked as reached only when you, the parent, decide so.

Your goals are not connected to your test or the production of your worksheet.


Below are very similar categories as the test, but in the lists you will choose preferably only three specific goals.

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Passive Vocabulary

Description: Number of words that your child recognizes.
Please write in your Daily Notes: List of words that he or she recognizes.
How will things be when you have achieved your goal?

  • Level 1: Recognizes his/her name and 2 words.
  • Level 2: Recognizes 2 – 20 words.
  • Level 3: Recognizes 20 – 200 words.
  • Level 4: Recognizes 200 – 2,000 words.
  • Level 5: Recognizes more than 2,000 words.

Verbal Communication

Description: If you ask 5 questions, what does the reply look like?
Notes: How will things be when you have achieved your goal?

  • Level 1: Can respond by saying one consonant or vowel sound.
  • Level 2: Can respond by saying 5 phonemes (baba, tata, mama, nana, etc).
  • Level 3: Can respond by saying 1 survival word, or yes or no.
  • Level 4: Answers with a word or two.
  • Level 5: Answers with a structured sentence (subject – verb – object minimum) to a what, where, when, why question.
  • Level 6: Can explain his/her opinion and in relative detail.

Pronunciation

Description: How clearly does he/she pronounce his/her words? From grunts to words.
Write in your Daily Notes: list of phonemes or consonants that are deficient.
How will things be when you have achieved your goal?

  • Level 1: Mom and/or Dad can understand what he/she says.
  • Level 2: Only close family members can understand what he/she says.
  • Level 3: Most people, including strangers can understand 50% what he/she says.
  • Level 4: Has difficulty pronouncing complex words only.
  • Level 5: Pronounces clearly any tongue twister.

Sentence Structure

Description: Describe the level of complexity of the sentences that he/she develops. From no sentence to compound sentences.
How will things be when you have achieved your goal?

  • Level 1: Says 1 survival word.
  • Level 2: Says 2 to 3 words in one sentence only.
  • Level 3: Can say more than 6 words in a sentence.
  • Level 4: Can describe an object with more than one adjective.
  • Level 5: can for a compound sentence.

Hand-fine motor

Description: Different combinations of finger positions and movements in increasing levels of difficulty, with both hands.
How will things be when you have achieved your goal?

  • Level 1: Recognizable attempt to imitate a movement.
  • Level 2: Can point and give thumbs up.
  • Level 3: Can touch the thumb to each fingertip.
  • Level 4: Can do the scout salute. (Cover the little fingernail with the thumb, all other fingers close together and straight)
  • Level 5: Can make a v separating index middle from ring finger and pinky.

Drawing Shapes

Description: Basic writing skill level, holding a pencil with one hand, from the inability to hold a pen to writing.
How will things be when you have achieved your goal?

  • Level 1: holds pencil and scribbles.
  • Level 2: Draws a line.
  • Level 3: Draws a simple shape.
  • Level 4: Draws a face with eyes, nose and mouth.
  • Level 5: Follows a maze.

Finger strength

Description: Find a smooth and heavy object such as a marble egg or pointy paperweight with a very sleek surface and ask him/her to bring the hand above the object, grab it with fingertips only and lift it. From the inability to organize the movement of a closed fist, to the ability to perform delicately.
How will things be when you have achieved your goal?

  • Level 1: Can open his/her hand completely.
  • Level 2: Can close his/her hand around the smooth object without the opposable thumb into the motion to assist with the lifting.
  • Level 3: Uses opposable thumb to lift a smooth and heavy object for 2 sec.
  • Level 4: Uses opposable thumb to lift and hold a smooth and heavy object in the air.
  • Level 5: Transfer small object palm to fingers and back.

Echolalia

Description: Echolalia is the repetition of vocalizations made by another person. When done involuntarily, it is considered a tic. There is immediate Echolalia and delayed Echolalia, echoing of a phrase after some delay or lapse of time.
Notes: From permanent Echolalia to absence of Echolalia. How will things be when you have achieved your goal?

  • Level 1: Speaks to him/herself words that he/she heard in other contexts 40-50% of waking hours.
  • Level 2: The only time it is noticed is when he/she repeats one or more words that were just uttered.
  • Level 3: Only uses memorized sentences to communicate.
  • Level 4: Uses memorized sentences only when anxious stressed or emotional.
  • Level 5: No observable Echolalia.

Communication without words

Description: Before a child develops the ability to express a need with words, he/she might attempt to get the attention of an adult and take him/her to a place or thing that could help. Write today’s situation in your Daily Notes:
How will things be when you have achieved your goal?

  • Level 1: When in need, grabs a parent but is unable to point or indicate by any means what his/her specific need is.
  • Level 2: When in need, grabs a parent and leads the parent to the general location where he/she knows the need can be satisfied, but is unable to point at the object that would help.
  • Level 3: When in need, grabs a parent or adult and leads the parent to the specific location and object that will satisfy the need. Is able to point to one or more objects that would help.
  • Level 4: Uses objects to make him/herself understood. E.g. grabs a bowl and a spoon and lays the table to indicate hunger.
  • Level 5: Is able to imitate the action a parent should take that would satisfy the need.

Pincer skill

Description: Quality of the pincer hold. How well can each finger be isolated? This capacity reflects issues in speech. How will things be when you have achieved your goal?

  • Level 1: Points with index.
  • Level 2: Can pick up a small object and post it into a box.
  • Level 3: Can pick up a peanut with a thumb and index finger pincer hold and put it into a box.
  • Level 4: Pick up a very small object (rice) with a thumb and little finger pincer hold and put it into a box.
  • Level 5: Can roll play dough snakes with both hands simultaneously, rolling the play dough between the thumb and little finger.

Upper Lip

Description: Children with partial facial paralysis, or with very weak muscle tone generally have poor control of their upper lip muscles.
Notes: From the inability to use the upper lip in facial expression or speech, How will things be when you have achieved your goal?

  • Level 1: Covers teeth on demand.
  • Level 2: can imitate pouts with closed lips.
  • Level 3: Pronounces Papa and Mama with lips, not with teeth.
  • Level 4: Can keep mouth closed on demand but mouth tends to stay open much of the time.
  • Level 5: Mouth is closed and relaxed 100% of the time.

Tongue Movement

Description: Describes the extent to which he/she can control tongue movement. For example, how far could he/she pull it if he/she wanted to?
Notes: The quality of tongue movement is essentially about safe breathing and proper feeding. How will things be when you have achieved your goal?

  • Level 1: Can open the mouth to show you his/her tongue, but there is very little tongue movement.
  • Level 2: Pulls his/her tongue up to the tip of his /her lips.
  • Level 3: Pronounces Tata and Nana clearly.
  • Level 4: Can push his/her cheek out with his/her tongue.
  • Level 5: Can curl or twist his/her tongue.

Tantrums Frequency

Description: Count how many times he/she breaks down during the day on average and put this information in your daily notes.
How will things be when you have achieved your goal?

  • Level 1: 3 – 10 episodes per day.
  • Level 2: 1 – 3 episodes per day.
  • Level 3: 2 – 5 episodes per week.]
  • Level 4: 4 episodes per month.
  • Level 5: Fewer than 1 episode per month.

Anxiety responses or Stimming frequency

Description: How many times, on average, does he/she display anxiety or stress by pacing, covering his/her ears, flapping his/her hands, rocking or stimming in any other way?
How will things be when you have achieved your goal?

  • Level 1: 3 – 10 episodes per day.
  • Level 2: 1 – 3 episodes per day
  • Level 3: 2 – 5 episodes per week.
  • Level 4: 4 episodes per month.
  • Level 5: Fewer than 1 episode per month.

Obsessive compulsive behaviors

Description: How many times on average does he/she display obsessive or compulsive behaviors, such as switching lights on and off, closing door a number of times, running back and forth to and from a specific location, asking the same questions, etc? Remember that true obsessive compulsive rituals precede an identified event and that they demonstrate task planning abilities.
Count today’s occurrences and write that number in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: 3 – 10 episodes per day.
  • Level 2: 1 – 3 episodes per day.
  • Level 3: 2 – 5 episodes per week.
  • Level 4: 4 episodes per month.
  • Level 5: Fewer than 1 episode per month.

Stimming intensity

Description: How easy is it to interrupt stimming?
Describe today’s situation in your daily notes.
How will things be when you have achieved your goal?

  • Level 1 : Touching him/her interrupts stimming.
  • Level 2: Calling his/her name interrupts stimming.
  • Level 3: A specific trigger is identified, and avoiding it helps avoid stimming, generally.
  • Level 4: There can be no stimming for 1 hour when he/she was asked to stop.
  • Level 5: Never has to be asked not to stim.

Bedtime routine

Description: Most children enjoy sleeping in mommy’s bed. What about your child? We use this situation as an evaluation of sleep habits and improvement in that area.
Describe the present situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Starts night in the parents bed but can be transferred back into his own bed. Will wake up and return, or demand to return into the parents’ bed.
  • Level 2: Starts the night in the parents’ bed but can be transferred, and will sleep until morning without returning into the parents bed.
  • Level 3: Can fall asleep in his/her own bed so long as there is a parent present in the room.
  • Level 4: falls asleep with parent on a chair in his room. Once asleep parent leaves the room
  • Level 5: Goes to sleep in own bed without assistance

Night sleep duration

Description: How long will he/she sleep at night on average? Put this time in your Daily Notes today.
How will things be when you have achieved your goal?

  • Level 1: 5 hours.
  • Level 2: 6 hours.
  • Level 3: 7 hours.
  • Level 4: 8 hours.
  • Level 5: More than 8 hours.

Sleep interruptions

Description: How many times will he/she wake up and interrupt his/her sleep at night, on average? Write this average in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Once per night.
  • Level 2: 3 times per week.
  • Level 3: Twice per week.
  • Level 4: Once per week.
  • Level 5: Usually does not wake up until morning.

Waking Up

Description: How easy is the transition from sleep to wake in the morning, or after a nap?
Notes: from very Grumpy at wake up time, to a typical attitude.
How will things be when you have achieved your goal?

  • Level 1: Wakes up and breaks down for less than 30 minutes.
  • Level 2: Wakes up with 3 prompts or less.
  • Level 3: Wakes up right away but still needs a lot of help to get out of bed.
  • Level 4: wakes up easily and is in a good mood.
  • Level 5: Wakes up spontaneously in a good mood.

Feeding Skills

Description: How well can he/she feed himself? This goal is about self feeding capacity.
How will things be when you have achieved your goal?

  • Level 1: Can feed him/herself half a meal if made mostly of finger food with only three prompts.
  • Level 2: Can feed him/herself a complete meal if made mostly of finger food without prompts.
  • Level 3: Can feed him/herself half a typical varied meal with help for utensils.
  • Level 4: Can feed him/herself the entire varied meal, but requires help with some utensils.
  • Level 5: Can feed him/herself the entire meal using all utensils skilfully.

Mealtime Interruptions

Description: How many times does he/she leave the table or interrupt his/her meal with playing? Put this number in your daily notes.
How will things be when you have achieved your goal?

  • Level 1: no more than 5 interruptions.
  • Level 2: There are usually about 3-4 interruptions.
  • Level 3: There are usually about 2-3 interruptions.
  • Level 4: There is usually no interruption.

New Foods

Description: How many foods does he/she enjoy/tolerate eating? From a rigid diet to fully diversified feeding. Indicate the number of foods accepted today in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Tries one new food over a period of two weeks, this requires much creativity.
  • Level 2: He/she tolerates trying about one new food in a two-week period with little creativity on your part.
  • Level 3: He/she tolerates trying two new food a week,
  • Level 4: He/she tolerates trying two new foods a week,
  • Level 5: Tries a new food spontaneously.

Failure to Thrive

Description: How little will he/she eat on his/her own, before being prompted to resume eating? This is about healthy calorie intake. Write about today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: He/she will eat spoon fed.
  • Level 2: He/she will 25% of the meal
  • Level 3: He/she will usually finish 50% of a normal portion.
  • Level 4: He/she will usually finish 75% of a normal portion.
  • Level 5: He/she will usually finish a normal portion.

Memory

Description: For this question, you will need a photograph of more than 25 different objects. After presenting the photograph for 10 seconds, how many can he/she remember? (Remember to rotate through different sets of 25 objects for your mini-tests).
Notes: Sees image and remembers no objects on it after 10 seconds to remembers a large number of objects. Write today’s results in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Correctly remembers 2. (Ignore incorrect answers)
  • Level 2: Correctly remembers 4. (Ignore incorrect answers)
  • Level 3: Correctly remembers 6. (Ignore incorrect answers)
  • Level 4: Correctly remembers 7. (Ignore incorrect answers)
  • Level 5: Correctly remembers more than 7 and no incorrect answers.

Numerical memory

Description: If you say a sequence of numbers, how many can he/she remember?
Write todays results in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Remembers 3 numbers in order.
  • Level 2: Remembers 5 numbers in order.
  • Level 3: Remembers 5 numbers backwards.
  • Level 4: Remembers 7 numbers in order.
  • Level 5: Remembers more than 7 numbers in order.

Beads in line-Abstract memory

Description: Using round glassy beads, or any other shapeless objects differing one from another only in color, ask him/her to reproduce a sequence or line of such beads. How many can he/she line up correctly? Write this number in your Daily notes.
Notes: From complete inability to remember any to remembering several.
How will things be when you have achieved your goal?

  • Level 1: 3
  • Level 2: 4
  • Level 3: 7
  • Level 4: 9
  • Level 5: 12

Reading

Description: How well, how expressively can he/she read?
Write todays situation in your daily notes.
Notes: From total inability to read, to expressive reading.
How will things be when you have achieved your goal?

  • Level 1: Knows 10 letters and their sounds.
  • Level 2: Associates phonemes to make simple words such as cat or big.
  • Level 3: Reads 10 words that he/she is has recognized before and is familiar with.
  • Level 4: Reads with hesitation.
  • Level 5: Reads with expression.

Reading comprehension

Description: How much does he/she remember about what he/she has just read and how many plot details can he/she discuss? Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Reads a page but cannot answer any type of questions.
  • Level 2: Reads a page and answers 5 yes or no questions.
  • Level 3: Reads two pages and can answer one what, where, when or how question.
  • Level 4: Reads a chapter, answers right 5 what, where, when or how questions.
  • Level 5: Reads a short story answers 10 why questions.

Attention span

Description: How long would you say that he/she is able to sustain his/her attention to an activity? Write this number in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: Can listen to a short 3-minute story without interrupting.
  • Level 2: Can listen to a 10-minute story without interrupting.
  • Level 3: Can finishes a craft requiring 15 minutes of uninterrupted attention.
  • Level 4: Can watch a 30-minute cultural or new show on T.V., and can answer two yes or no questions.
  • Level 5: Can watch a one-hour cultural or new show on T.V. or organized activity, and can answer five what, where, when, how and why questions.

Motivation to finish

Description: Using the “Rush Hour” (http://www.puzzles.com/products/rushhour.htm) game or any similar easy mental puzzle, how many would he/she be able to complete in a given period of time? Write today’s number in your Daily Notes. How will things be when you have achieved your goal?

  • Level 1: Would still be trying to complete his/her first puzzle after 3 minutes.
  • Level 2: Would complete one puzzle within 3 min.
  • Level 3: Would complete two puzzles within 3 minutes.
  • Level 4: Would complete four puzzles within 5 minutes.
  • Level 5: Would complete more than eight puzzles or similar activity within 10 minutes.

Focus – 1 –

Description: How well can he/she perform a task that requires concentration?
How will things be when you have achieved your goal?

  • Level 1: Takes an object offered to him/her.
  • Level 2: Walks in line across a beam.
  • Level 3: Reproduces a shown structure with at least 8 wooden blocks.
  • Level 4: Can walk back and forth across, with a spoon in his mouth containing a cotton ball.
  • Level 5: Can climb up and down a flight of stairs holding a spoon in his/her mouth containing a cotton ball, and can repeat this three times in a row without dropping the spoon or the cotton ball.

Following Instructions

Description: How well can he/she complete instructions in varying levels of complexity without requiring assistance?
Notes: Number of levels of instructions a child can understand and complete today is written in your Daily Notes.
One step is a segment of the sequences of actions leading to completion of the request. For example: go get a drink in the kitchen is an 8 segments or steps:
Walk, enter the kitchen, open the cabinet, pick a glass (not a pan or a plate), go to the faucet, turn it open and put the glass under the flow of water till it is full. Write in your Daily Notes how many steps he/she can complete today without prompts.
How will things be when you have achieved your goal?

  • Level 1: Completes single step instructions 50% of the time with three prompts.
  • Level 2: Completes two-step instructions 50% of the time with two prompts
  • Level 3: Completes three-step instructions 50% of the time with two prompts.
  • Level 4: Completes four-step instructions 80% of the time without any assistance.
  • Level 5: Completes complex five-step instructions or more complicated sets of instructions 90% of the time without any assistance.

Eye contact

Description: Describe the quality of his/her eye contact.
Notes: from no eye contact at all to satisfactory eye contact.
Indicate today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: Eye contact for one second.
  • Level 2: Eye Contact for less than 3 seconds with one prompt.
  • Level 3: Eye contact for 10 seconds when spoken to.
  • Level 4: Eye contact for one minute while receiving instructions.
  • Level 5: Can handle a 30-minute conversation with appropriate, consistent eye contact.

Play dates

Description: How well can he/she play with others, whether his/her siblings or with peers?
Indicate present situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Parallel play for 5 – 15 min.
  • Level 2: Successful and interactive play for two to five minutes with prompts.
  • Level 3: Successful and interactive play date for 10 – 25 minutes.
  • Level 4: Successful and interactive play date for 30 minutes to an hour.
  • Level 5: Successful and interactive multi-hour play date outside of the home.

Face recognition

Description: How well can he/she recognize the faces of people he/she has already met? Describe today’s situation in your Daily Notes:
How will things be when you have achieved your goal?

  • Level 1: Shows emotion for mother and father.
  • Level 2: Calls parents ‘Mom’ and ‘Dad’ accurately.
  • Level 3: Runs and smiles to a parent after a short separation.
  • Level 4: Acknowledges with a smile and signs of affection grandparents and other members of the extended family.
  • Level 5: Recognizes and acknowledges with a smile and other signs of affection peers and friends.

Name Recognition

Description: How well and how promptly does he/she respond to his/her own name? From not at all to typical. Write present situation in your daily notes.
How will things be when you have achieved your goal?

  • Level 1: Responds to his/her name 10% of the time.
  • Level 2: Responds to his/her name 30% of the time.
  • Level 3: Responds to his/her name 50% of the time.
  • Level 4: Responds to his/her name 75% of the time.
  • Level 5: Responds to his/her name 100% of the time.

Play time

Description: How long does he/she play with an age-appropriate toy? Describe today’s situation in your Daily Notes. How will things be when you have achieved your goal?

  • Level 1: Plays for three minutes with adult prompts.
  • Level 2: Plays for five minutes with a toy (age-appropriate or not) without adult prompt.
  • Level 3: Plays for 15 minutes with two different toys (age appropriate or not) without adult prompt.
  • Level 4: Plays for 30 minutes with age appropriate toys.
  • Level 5: Plays for more than 45 minutes with age appropriate toys.

Left arm mobility

Description: How well can he/she move his/her LEFT arm?
From total immobility to movement. Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: Lies on the floor flat on his/her back and pushes a can of soup away from his/her body.
  • Level 2: Tings bell held at shoulder height.
  • Level 3: Catches a ball, arms extended.
  • Level 4: Places hands flat on the top of his/her head.
  • Level 5: Places hands in receiving position.

Right arm mobility

Description: How well can he/she move his/her RIGHT arm?
Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: Lies on the floor flat on his/her back and pushes a can of soup away from his/her body.
  • Level 2: Tings bell held at shoulder height.
  • Level 3: Catches a ball, arms extended.
  • Level 4: Places hands flat on the top of his/her head.
  • Level 5: Places hands in receiving position.

Vertical stability assisted

Description: How easy is it for him/her to stand against a wall or with some other form of assistance? (If the person can stand without assistance or walk)
Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: Stands 3 seconds against a wall.
  • Level 2: Stands 10 seconds away from the wall, with assistance (hand, table edge).
  • Level 3: Stands without assistance for 10 seconds.
  • Level 4: Walks with assistance (cane, hand).
  • Level 5: Walks without assistance.

Vertical stability unassisted

Description: How easy is it for him/her to stand without any form of assistance?
Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: 10 seconds standing alone.
  • Level 2: Can take single steps.
  • Level 3: Can take a sequence of three steps.
  • Level 4: Can walk 10 steps.
  • Level 5: Can walk more than 10 steps.

Crawling

Description: How does he/she crawl around? For very young children only. Describe today’s situation in your Daily Notes. How will things be when you have achieved your goal?

  • Level 1: Combat crawls indefinitely.
  • Level 2: Knee participates in crawling movement.
  • Level 3: Travels 5 meters within 2 minutes (any style).
  • Level 4: Crawls on hands and knees.
  • Level 5: No longer needs to crawl in order to perambulate.

Neck strength

Description: How strong is his/her neck? From inability to lift head up at all, to typical situation.
Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: keeps head up for 30 seconds.
  • Level 2: Can motions his/her head to say ‘No’.
  • Level 3: Can motions his/her head to say ‘Yes’.
  • Level 4: Can lay either cheek on his/her shoulder.
  • Level 5: Can hit a ball away with his/her head.

Muscle tone – Arms

Description: How strong are his/her arms? For children with very low muscle tone. Use your pediatric evaluation and indicate the level of improvement.
Describe today’s situation in your Daily Notes.
How will things be when you have achieved your goal?

  • Level 1: + 10%
  • Level 2: + 25%
  • Level 3: + 50%
  • Level 4: + 75%
  • Level 5: + 90%

Muscle tone – Legs

Description: How strong are his/her legs? From inability to move, to full range of motion.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Recognizable movement.
  • Level 2: Slides legs laterally lying flat on his/her back.
  • Level 3: Lifts leg up lying flat on his/her back.
  • Level 4: Lifts leg up straight lying flat on his/her back.
  • Level 5: Can do a complete squat motion five times in a row.

Toe Walking

Description: Toe Walking
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: 80% toe walking.
  • Level 2: 45% toe walking.
  • Level 3: 35% toe walking.
  • Level 4: 10% toe walking.
  • Level 5: Completely appropriate motion in walking.

Hyperactivity

Description: How active is he/she? From 100% of walking hours in unorganized motion to typical level of activity.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: In motion 50% of waking hours, cannot stay at a desk for more than 5 minutes.
  • Level 2: Stays at a desk or seated but squirms and changes positions more than 10 times in 30 minutes.
  • Level 3: Stays at a desk for 30 minutes listening to a presenter but has to manipulate objects or move his legs.
  • Level 4: Stays at a desk for an hour listening to a presenter but has to manipulate an object or scribble.
  • Level 5: Stays at a desk listening to a presenter for more than an hour and can control his need to move, is calm and rested.

Eye scanning

Description: Describes the quality of his/her eye scanning which is a great indicator of fine motor control of capacity to focus.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Can scan Right to Left and back, following an object that has moved 4 inches before blinking
  • Level 2: Can scan Right to Left and back, as well as Up to Down and back, following an object that has moved 5 inches twice in a row before blinking.
  • Level 3: Scans 6 inches with change of direction 6 times before blinking.
  • Level 4: Scans 7 to 8 inches 6 times with changes of direction before blinking.
  • Level 5: Can locate 5 pieces of a picture cut off distant by 10 inches.

Sensitivity to noise

Description: How well can he/she tolerate certain noises? From a very severe situation where low sounds are irritating to a typical situation.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Tolerates noisy places such as a shopping mall without sound-proofing measures for 5 minutes.
  • Level 2: Tolerates only brief moments in noisy places without sound-proofing measures before breaking down for 10 min.
  • Level 3: Cannot stay in a busy but quiet restaurant for more than 30 minutes without sound-proofing measures.
  • Level 4: Can stay in a busy restaurant for an entire meal (more than 45 minutes) without sound-proofing measures.
  • Level 5: Can sustain exposure to loud noises such as can be experienced in an airport, fair grounds, concerts or parties for more than an hour without sound-proofing measures.

Absent-mindedness

Description: How many times would you say he/she tends to forget things in a given period of time, on average? Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Forgets of misplaces between 1 to 2 things per day.
  • Level 2: Forgets or misplaces between 2 to 4 things per week.
  • Level 3: Forgets or misplaces between 1 to 2 things per week.
  • Level 4: Forgets or misplaces about 1 thing a week.
  • Level 5: Fewer than 2 per month.

Task planning

Description: How far in advance can he/she plan projects or complex instructions?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Can complete successfully 3-step tasks.
  • Level 2: Can complete successfully 4-step tasks.
  • Level 3: Anticipates 1 or 2 tasks each day and prepares for or completes them.
  • Level 4: Prepares for a project that will require more than one day to complete.
  • Level 5: Not only completes all his projects but also helps other(s) to complete theirs.

Detailed drawing

Description: How many details can you detect in his/her drawings of a person? From scribbling to proper drawing.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Draws a stick man with arms and legs and legs.
  • Level 2: Draws a stick man with one clothing detail, or with hands and feet.
  • Level 3: Draws a stick man with one clothing detail, hands and feet and one or two face details.
  • Level 4: Draws body contours, sleeves, tie, belt and shoe laces
  • Level 5: Draws 80 – 100% anatomically correct reproductions of a person with very detailed clothing, clothing accessories, including texture, shadow, color and perspective.

Mood swings

Description: Are there episodes of excessive optimism followed by episodes of excessive sadness?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: 10 to 15 episodes a month.
  • Level 2: 5 to 10 episodes a month.
  • Level 3: 3 to 5 episodes a month.
  • Level 4: 1 to 2 episodes a month with rare expenses. No drug intake.
  • Level 5: No detectable excessive optimism or sadness for one month.

Sensitivity to motorized sound

Description: How well or how poorly can he/she tolerate motorized noises?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Tolerates motorized sounds outside the house.
  • Level 2: Tolerates motorized sounds inside the house, in and other room.
  • Level 3: Tolerates if the blender is used or when another specific motorized noise is made close to him/her while not being comfortable.
  • Level 4: tolerates his/her worst motorized noise without comment.
  • Level 5: No outward sign that any motorized noises bother him/her.

Sensitivity to touch – Clothes

Description: How well or how poorly does he/she handle textures? From total intolerance to any clothes to typical situation.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Accepts to wear an item of clothing he could not tolerate previously.
  • Level 2: Tolerates socks all day in the house.
  • Level 3: Tolerates socks and shoes out side of the house.
  • Level 4: Accepts to wear a new item of clothing.
  • Level 5: Enjoy gentle strokes for sustained periods of time and shows signs of relaxation with soft touch.

Coordination

Description: How well can he/she catch a ball?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Catches with two hands a large ball successfully 50% of the time.
  • Level 2: Catches a large ball successfully 80% of the time.
  • Level 3: Catches a tennis ball with two hands 50% of the time.
  • Level 4: Catches a tennis ball with one hand 30% of the time.
  • Level 5: Catches a tennis ball with non dominant hand 90% of the time.

Throwing

Description: How well can he/she throw a ball?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Can throw a toy into a box two feet away.
  • Level 2: Can throw a ball into a wide hoop, 4 feet away, 60% of the time.
  • Level 3: Can throw a small ball into a large bucket 5 feet away 50% of the time.
  • Level 4: Can throw small ball into large bucket 8 feet away, 8 out of ten times
  • Level 5: Can throw a small toy into a bucket 6 feet away with the non dominant hand 90% of the time.

Sensitivity to cold

Description: How would you say he/she behaves in situation where warmer clothing or a blanket should be used to help the body stay warm.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Accepts a coat and long pants.
  • Level 2: Accepts a warmer bath or shower.
  • Level 3: Asks for a blanket to cover him/her to sleep.
  • Level 4: Comes back in for warmer clothes after noticing that the outside temperature is a little cool.
  • Level 5: Can differentiate between 3 subtly different levels of temperature in bowls of water.

Tantrum intensity

Description: How intense or violent can his/her tantrums be?
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: 25% decrease of tantrums intensity.
  • Level 2: 50% decrease of Tantrums intensity.
  • Level 3: Can express his frustration with words or with other display of self-restraint 30% of the time.
  • Level 4: Can express his frustration with words or with any other display of self-restraint 60% of the time.
  • Level 5: Can express his/her disappointment with valid explanation 90% of the time.

Separation anxiety

Description: Can you leave your loved one on his own for extended periods of time, or does he/she require you to be physically close most of the time? Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: You, the caregiver, can go to the bathroom and close the door, without incident, 90% of the time.
  • Level 2: 90% of the time, you, the caregiver, can go away for two to three hours. She/he will have only one or two anxiety episodes.
  • Level 3: 90% of the time, you, the parent, can go away for two to three hours, without any episode.
  • Level 4: Can stay at someone else’s house (someone familiar) for half a day without any episode.
  • Level 5: Can tolerate separation for multiple days with no anxiety, 90% of the time.

Relaxation ability

Description: Describe your loved one’s ability to relax.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Can complete an activity that requires vision or fine motor for more about 20 seconds.
  • Level 2: Can relax in a bath or doing a preferred activity for about 3-5 minutes before becoming agitated again.
  • Level 3: Can relax in a bath or doing a preferred activity for about 10 minutes before becoming agitated again.
  • Level 4: Can relax in a bath or doing a preferred activity for 20 minutes or more.
  • Level 5: Can relax for more than one hour doing relaxing activities such as listening to music, doing yoga.

Tics

Description: How many tics per day? (Tics are uncontrollable short mannerisms such as clearing one’s throat, re-adjusting position, rubbing one’s nose, etc)
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: 50% less per day; pr 15-25 times per day.
  • Level 2: 75% or 20-15 per day.
  • Level 3: 10 tics per day.
  • Level 4: 1 – 5 per day.
  • Level 5: No observable tic.

Pencil hold

Description: Describe how well does your loved on hold a pen or pencil.
Notes: from the inability to hold a pen to a good pen hold.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: draws a line using a fisted grasp..
  • Level 2: Draws a simple shape using a fisted grasp
  • Level 3: traces a letter or complex shape using a standard pencil grasp
  • Level 4: In standard pencil hold, is able to draw fairly straight vertical or horizontal lines.
  • Level 5: Draws or writes for greater than 5 minutes, using a standard pencil grasp

Posture

Description: How straight is his/her posture?
Notes: from the inability to keep head up straight to appropriate posture during motion.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Can sit upright and hold his/her head up for about 20 seconds.
  • Level 2: Can walk 10 steps without assistance.
  • Level 3: Can walk 8 feet across the length of a 4 inch wide board
  • Level 4: Can walk up and down 10 stairs (20 total), arms extended in front of him/her in ‘zombie’ position, and with a pillow on his/her head, without dropping the pillow.
  • Level 5: Using a 6-8 inch wide by 6-8 feet long board and a piece of PVC piping 2 inches in diameter, balances the board horizontally on the pipe. To qualify for a maximum score on this scale, he/she should be able to balance without letting either side of the board touch the ground and without spilling more than a drop of water for at least 10 seconds.

Cutting with scissors

Description: How well can he/she cut with scissors?
Notes: From the inability to pick up scissors to the ability to cut off difficult shapes
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Snips paper using and uses only one hand to hold scissors.
  • Level 2: Cuts straight lines (4-6 inches in length) within 1/4 inch of the line, using appropriate scissor grasp
  • Level 3: Cuts simple straight-edge shapes (square, triangle, etc.) within 1/8 inch of the line using appropriate scissor grasp.
  • Level 4: Cuts curved lines and circles within 1/8 inch of the line, using appropriate scissor grasp.
  • Level 5: Cuts complex shapes within 1/8 of the line, using appropriate scissor grasp.

Fussing and whining

Description: Fussing and Whining is usually caused by discomfort. How much does he/she whine or fuss every day on average?
Notes: From an almost constant whining to an almost total absence of whining and fussing.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Fusses or Whines 15 to 10 times per day.
  • Level 2: Fusses or Whines 10 to five times per day.
  • Level 3: Fusses or Whines 3-5 times per day.
  • Level 4: Fusses or Whines 1-2 times per day.
  • Level 5: Only fusses or whines rarely, if at all.

Voluntary grasping – Left

Description: How well can he/she control movement of his/her left hand?
Notes: from a very limited control to a complete control.
Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Grasps your finger when you touch the palm of the left hand.
  • Level 2: Wraps all the fingers around a strawberry or any other object of the same size and holds it, palm facing up, for 10 seconds.
  • Level 3: Holds a cup, half full of liquid, for 30 seconds.
  • Level 4: Can pick up finger foods such as cereals from a plate.
  • Level 5: Can roll play dough snakes with both hands simultaneously, rolling the play dough between the thumb and little finger.

Expressing emotions

Description: This is a simplified description of stages of development for expressing emotions. Which description fits him/her the best once you achieve your goal?

Notes: from the inability to show emotion to the appropriate demonstration of emotion.

  • Level 1: Smiles or has an appropriate facial expression in the event of happy or distressing news.
  • Level 2: Shows basic reactive emotions. For example, he/she smiles when the parent appears or he/she fusses when a toy is broken, or when the parent leaves.
  • Level 3: Hugs and kisses spontaneously at appropriate times.
  • Level 4: Can mimic facial expressions and relate them to an emotion word that you suggest or to the facial expression on a portrait that you present to him/her if the person is not fluently verbal.
  • Level 5: Is able to express his/her own feelings using the word “I.”

Over-eating – Compulsion

Description: Does he/she tend to eat more than he/she should?
Notes: from the destructive behavior preceding unreasonable over eating, to a control of food intake. Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Is able to reduce the amount of food per day by 30%
  • Level 2: Is able to reduce the amount of food per day by 60%
  • Level 3: Is able to limit intake of carbohydrates by 50%.
  • Level 4: Refuses foods that are not considered healthy
  • Level 5: Eats appropriate portions and has lost all signs of inappropriate obsession toward food. Will regulate spontaneously after occasional mild excesses. Attracted to health-promoting foods.

Low calorie intake

Description: Does he/she tend to eat less than he/she should?
Notes: from the health hazard of minimal eating justifying tube feeding to a typical feeding. Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: With simple coaxing, will ingest the minimum daily requirement for a person of his/her body type and size.
  • Level 2: Spontaneously ingests the minimum daily requirement for a person of his/her body type and size.
  • Level 3: Once a week, spontaneously ingests the average healthy daily requirement for a person of his/her body type and size.
  • Level 4: At least 5 times a week, spontaneously ingests the average healthy daily requirement for a person of his/her body type and size.
  • Level 5: Every day, ingests at least the average healthy daily requirement for a person of his/her body type. Once a week, ingests 20% or more over the average healthy daily requirement.

Body awareness

Description: Being aware of your body is a crucial neurogical development that leads to being able to and wanting to use the body for basic tasks such as feeding and movement, but also for fun and artistic expression. How well is he/she aware of his/her body?
Notes: from severe clumsiness and excessive squeezing when giving a hug, to a perfect control. Describe today’s situation in your Daily Notes
How will things be when you have achieved your goal?

  • Level 1: Recoils when in contact with ice.
  • Level 2: Looks at his/her hands with interest.
  • Level 3: Rolls over from stomach to back or vive versa.
  • Level 4: Holds object for a purpose (finger food to eat, toy to look at it, cup to drink).
  • Level 5: Can perform one complex motor task that requires keen proprioception such as: playing a music instrument, skipping, or navigating an environmental maze.

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