LEVEL 1

(T) Direct Testing (O) Observation (E) Either Testing or observation (TO) Timed observation
Motor Imitation: Level 1 Skill 2M: Imitates 4 gross motor movements when prompted with, Do this

TARGETS:
Skill # Target/Skill Probe (+/-) Date Introduced Date Mastered
2-a Imitates 2 actions with an object
(e.g., pounding with a hammer,
rolling a ball) (T)
2-b Spontaneously emits 2 different
fun activities (e.g., peek-a-boo,
patty cake) (O)
2-c Makes eye contact while
imitating 3 times (TO: 30 min.)
2-M Imitates 4 gross motor
movements when prompted
with, Do this (T)

Skill # Individual Targets Per Skill Introduced Mastered