CTC-Gettng to Know Child


 

Student’s name_________________________ Therapists name___________________

 

Date__________________  Location_________________________

 

What does the child like to do?

 

 

 

 

What brings a gleam to his/her eye?  Give examples.

 

 

 

What does the child find challenging, disengage from?

 

 

 

Does the child like to be touched?  How?

 

 

 

Do you recognize any sensory sensitivities or cravings (sound, visual, touch, movement, tactile, taste, smell)? Explain.

 

 

 

 

How does the child communicate what he/she wants?

 

 

 

 

Can the child make decisions in play, use ideas, sequence ideas?  Explain

 

 

 

Does the child have motor planning (executing an idea using fine motor, gross motor or communication) strengths or weaknesses?

 

 

 

What do you think about the child’s visual system (sensitivities, perceptual) and visual-spatial abilities?

Location
Joshua D. Feder, M.D.
415 North Highway 101, Suite E
Solana Beach, CA 92075
Phone: 619-313-4527
Fax: (888) 959-2137
Office Hours

Get in touch

619-313-4527