Say aloud the italicized words. The answers are bolded.

If the child does not

respond within 3 seconds, move on to the next question.
Im going to ask you a few questions. Its ok if you dont know the answer, I just
want you to do your best.

1. Can you name each of the five senses?

(In any order)
Sight (1a), Smell (1b), Hearing (1c), Taste (1d), Touch (1e)
2. Can you point to the part of our body we use for sight?
Eye
3. Can you point to the part of our body we use for smell?
Nose
4. Can you point to the part we use to taste?
Mouth
5. Can you point to the part of our body we use to touch?
Hand
6. Can you point to the part of our body we use for hearing?
Ear

Indicate correct answers using an X or in the boxes below.

1a
Sadie
Jadon
Ezequiel
Crew
Triptyn
Weston
Brent
Miles
Madison
Mason
Brinlee
Stetson
Mea
Brynlee
Amber
Treyvin

1b

1c

1d

1e