Performance Questionnaire
Questions about whether or not your child needs occupational or speech therapy?
Take the performance survey below to know what to look for in your child.
Gross Motor Skills:
- Poor Jumping/Hopping Skills
- Poor Balance
- Difficulty Riding a Bike (pedaling and steering)
- Uncoordinated Throwing/Catching a Ball
- Unable to Pump a Swing
Fine Motor Skills:
- Poor Object Manipulation
- Difficulty with Handwriting/Coloring
- Unable to Complete Buttons/Zippers/Shoe Tie
Strength:
- Poor Upper Body Strength
- Poor Lower Body Strength
- Weak Postural Stability/Trunk Strength
- Limited Hand Strength
Self Care Skills:
- Need Help with Dressing
- Picky Eater
- Difficulty with Feeding Utensils
- Avoidance of Grooming Activities
- Poor Safety Awareness
School Related Skills:
- Poor Handwriting
- Short Attention Span
- Poor Problem Solving Skills
- Difficulty Following Directions
- Learning Disabilities
- Difficulties with Reading
Avoidance Behaviors:
- Texture Aversions (including food)
- Avoidance of Movement Activities
- Withdraw Behaviors
- Avoidance of Noisy Crowded Places
Sensory Seeking Behaviors:
- Hyperactivity
- Increased Arousal Levels
- Self-initiated Movement (spinning, rocking, crashing)
Social Interaction with Family and Peers
- Aggressive Behavior
- Poor Communication
- Isolated Play
- Social Withdrawal
- Difficulty Sharing and Taking Turns
