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  • Diagnostic Evaluation Form

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    Lizzie Janito
    38 views1 page
    This document appears to be an observation checklist for a child undergoing diagnostic evaluation at a pediatric developmental center. It lists various behaviors and skills that the supervising psychologist and volunteer will observe and evaluate in the child, including responses to name, eye contact, communication abilities, repetitive behaviors, play skills, problem solving, focus, and social interactions. The goal is to assess the child's development across multiple domains.

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    Diagnostic Evaluation Form

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    This document appears to be an observation checklist for a child undergoing diagnostic evaluation at a pediatric developmental center. It lists various behaviors and skills that the supervising psychologist and volunteer will observe and evaluate in the child, including responses to name, eye contact, communication abilities, repetitive behaviors, play skills, problem solving, focus, and social interactions. The goal is to assess the child's development across multiple domains.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    38 views1 page

    Diagnostic Evaluation Form

    Uploaded by

    Lizzie Janito
    This document appears to be an observation checklist for a child undergoing diagnostic evaluation at a pediatric developmental center. It lists various behaviors and skills that the supervising psychologist and volunteer will observe and evaluate in the child, including responses to name, eye contact, communication abilities, repetitive behaviors, play skills, problem solving, focus, and social interactions. The goal is to assess the child's development across multiple domains.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    For Diagnostic Use and Intern Observation

    Pediatric Developmental Center


    Child's Name:

    Date Volunteer Name:

    Super-vising Psychologist

    E Responds to o\\'n name?


    I Consistent eye contact?
    I Attentive to requests?
    I Communication (r,erbal or nonverbal):)
    E Communicates r,r,'hen in need of heip?
    I Iniitates (behai'iors or facial expressions)?
    I Repetitive behaviors (ex. hand flapping)?
    IRestricted interest in parlicular objects or activities?
    I Negatively reacts to excessive stimr-ilation'l
    I Engages iu pretend play'/
    E Understands basic sociai cues?
    E DifhcultvJ9 rvith decision-makine?
    I Diftlculty solr,ing problems'l
    I Learns f}om r,vatching othels'l
    [I Plays r,r,ith other children']
    I Disruptive or ag-eressir.,e behaviors'?

    I asily distractible'l
    E
    E Dift-rculty sitting still (ex. fidgets)?
    I Non-purposefuI rr-rnning?
    I Sr"rstained fbcus and effoft during a task?
    I Quiet during prelened activities?
    I Difficulty waiting their turn during social play?
    I Interrupts or intr-r.rdes others?
    Language Sample:

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