Ashtavakra Institute of Rehabilitation

Sciences
A
IEP
(Part A-Demographic Data)

facaret aTAI Name of Student: Age: 10

ShantMU
Sex Male| Female
Date

Area: Life skil

Short term Goal:

dontiy all steps setting he tabfa

Long tem Goal: Lean to geneHalise the cencaptt and hew to set
Set taHa at home
Task Activity: Setting the table

acaitRI Current Level: Follous otructiens and good moto skiLls

hew tob set the t a s l will doit

3a Specific Objective: When sheun
menths.
and achieue.AS| accUIAY , aftea beuod

Material Required:

Shantanu will be motivated to pexzoam the actvity.

Procedure
Set the table with utenails
He wil be t a i n a d t o
.no Task Entry Level
12 3 4 5 6 7 8 9 10 11 1213 14 15

G40to the kithen tVPt|vP\+VP+ctPtCt UP

2 Take utenbils PPPPMMc|tvpcGtc+ Mt PP
3 Ggo to the dining tabt PPtVeVetletCGVPVe+ct|
4
Placo blatesen the PP PPMCc|tCEVe veGt PPM+VP
tabla
Place Glaos PPPPMC|e VPcGVPtM tPP PP t
6
Placo speen PPPPLMC MMMMM PPPPc tVe PP
Place oak PPPPMc |PPPPPePPMM MMc VP VP
8
Place tissue PPPP MlcVPcGGMM PPPP MVA
9

10

No of success percentage
 S.no Task Entry Level 1 9 10 11 12 13 14 15
1
to the kifchen tVPtCVPt|Vet cC VP
Take utenoila VeGtMtveltVP tc PP M c
3 o to Hhe dininq table
Placplatea en the tVP+|ctVPtMtMMPPVe t
sace glaso cGPPM M|cM+PPPPVPt
Placaspeen cPPMVeVP+VP tMtCElc
Placafork cGPeMtcVe
VettCtPPMVp
8PlacLissue CGPPMMt|VP+PP M|MtVp
9

10
tPM+VPtctVPMt|Mtc
No of
success percentage
 S.no Task Entry Level 1 2 3|4 5 6 7 8 9 10 11 12 13 14 1 5

1 Gpoto the kitchon EVelt+Ectte+tt+

2 ake utensls ctvelctcet+
3 6o o the dining-taba tctVe tcttM P4+t
4
Placa plates en the PtM+PPVe+M
M+G+ c t t
5 Piaca Galaas
6Placesheen tve ltG cVP t|M |CFVelt| vec
Gtue | e t P p +C|c+Pe
7 Placa fok ttM+|Ve+|+ *
8 Placa tissue UP t
9

10

No of success percentage
Sa sof Sf624|62/624|at|s|2i/s/35|7715
Signature Academic Head
Signature Trainer.
Signature Trainee.
 Ashtavakra Institute of Rehabilitation Sciences And Research
IEP
(PartA-Demographle Data)
facart AI/ Name of Student: Shantanuu 3T/Age: 10

Sex Male Female

Date

Area: Life skill

Short term Goal: ldontity the

neceooas n

Longterm Goal: Cembrehend & lakl the imbortant signo

 Task Activity:
Cemprenend cemnuunity Siars

ata I Curent Level:

Fllows Inotuctions & hao good
eya-hand comdiratrm
3r Specifñic Objective uhen intoduced to some community sig ns
Signs
will be able to lakl them with 71 /: accay, ater a
Material Required:

Procedure: 6hantanu will be motivated to leasn seme communty Cemmuny

He wiu be edined to cembrehend label hee
Signs
Sig no
 S.no Task Entry Level
1 2 3 4 5 6 78 9 10 1112 13 14 15

Match the signa ttEVPttVPtVe+VP +C

2 ldentu signo ene b PPPLMMMPMPp MGVetctM
cemhrehend
ne
ene ly PP PeM MPePeMPPPe PPCPPMMC
4 H e SiqnA
PPP MM MPPM PPMMmPP PP M
5Readthesentence PP PRL M,MPP|PP\M|+|M Veltlcltlve t
6
a clip to the
21ght angwen
PP PMMttt tt+MtVet C+G
7
Genualis all He
Signs
PPPM M MPPMPe MMPPP MM
8

10

No of success percentage 4H H/ 28/20/129/14/|97|28//|28/ 2828

S.no Task
EntryLevel 1 2 3 45 6 7 8910 11 12 13 14 15

Match thesigns tetttG ++et Ve

2
signa n by Vet+evtVPH+t|e t +
3 Cemprehane en by cVecVel+|eet++ c
Zabel He signa
4
MPP MPe PePeMMPPePP PP M M
sRead the sentece |tVP+tc+veG_Ve VPtVP
5
Placa aclih to the
29ht anouloA
EEVetVPct|t
Gemonalse aUhe M MPPcPPcc GPPMCCVP VeVA
8 signs

10

Noof success percentage 42/42/2 22828/2|2 2:sa744l yz}|42/|5+/|A

 S.no Task Entry Level
12 34 5 6 7 8 9 10 11 12| 13 14 15

Match the sians +tvPlct++VPtt+

dentiysipna enL b Ve+ct|Ptttc+|+
NL,,
3 signs + VP Gt|t|+|c+#|
tVet+t
4 h e signa VPtc+VPtG+c t|ve c
5
Road the Sentence tEtPlc+Mt+++ VP t|+
6
PlaCo a clip to the C E#|VPttt|t|Vec
279ht anpiwAA
7 Geninalse alu he Vece P MmcV MPpclUpctt
8
Signs
9

10

No of success percentage

Signature Trainer Signature Academic Head

Signature Trainee
 Ashtavakra Institute of Rehabilitation Sciences And Research
IEP
(Part A- Demographic Data)

faear a AIA| Name of Student:

Shantanuu T Age: 10

Sex Male Female

Date

Area: unctieTal Acadomics

Short term Goal:

Multiply the no's with appropriate premps

applicatien in functienal
Long term Goal GeneHalise ot URe this
aHLa
 Task Activity Multiplicatien

ar1FRI Fellews imotuctions and

Curent Level:
kreudthe tabla
3 7 Specific Objective: when mtooduced he COncopt laasun the uoe
muutiplicatien wlth 8saccunay
aten a
fotod o 3
men thos
Material Required:

Procedure: 6hantamu wi be enconaged to mutibly the given

numbeAD with the help e prompts He wil be tainad how
to uoe tis abplicatien
 S.no Task Entry Level 12 3 4 5 6 7 8 9 10 11 12 13 14 15

1 the rumbexA +VPtVP+|VPtlcctVP+|Vel +|Ve

2
Chocse tvo numbeas| PP+VPctetive ctVetc
Multiblyy_ tham
3 PPPEMM PelcVe_Ve MMPP |PP M MM
4
Label the onouen PPPPMMMP Pe MMPPCt Ptc
5Cheoo0tuo aMothin. PP PP MMttVeVPtVP+ VPtVP+
6
nwmbO
thom PP PP MMmPPMPP MPPMc clcc
PPPP PeMMPPMPeMPP+c
Labe!the anoue
8 it 2-3tmas PP PP MM MM+PP MM t c

10

No of success percentage t/27 P27 25|25/2|2|2|2s;/| ||

 S.no Task Entry Level 2 3 4
56 8 9 10 11 12 13 14 15

ldontiythe numbe tPtVPVP+Ve

tvettclcvet
Cheeas tuo numbeus tetetclelte |+velveltve t
Multiby them PPPe Pe+PP+C+c+M PPPP
4
Lasel the amaue PP+e VPPPPPMt MtEM
Chassa
7umbeMD
two anatthe PMcGGGtVeVet VPtve
6
Multisly them MPelctcttv Vetcte
Labcl te anouen MtccgVPtGG GtG
Repeat t 2-3 times
8
t Ve vetAtVe e t c t c
10

No of success percentage /92/a}a/sj|sa»la/

 S.no Task EntryLevel 1 2 34 8 9 10
11 12 13 14 15
1 the numécxa
+VP+VPt +
2 tuo numktuo PPtVPtt VP+
3MuLtipy them PP t t c | tttvet
4 labtl the anauseu Mtct PeltPP t t
5
numbeA
tuo amathen tt+MtvetMt
6
MulLtil tham CtVetc tlcPPtMM +VP
7
Label Hhe anoieL tVpttCVPt+|+ feVet|+
Repeat it 2-3 times
9
tct+VP tVPtt
10

No of success percentage

Signature Trainee Signature Trainer Signature Academic Head

 Ashtavakra Institute of Rehabilitation Sciences
And Research
IEP
(Part A-Demographic Data)
facarit AIR/Name of Student: Shartan
TIAge: 10
Sex Male Female

Date

Area Moy
Short term Goal:
Identiky all the textune

Long term Goal: Labet he textune2 and dekine what he ükes

ukes maot
moot.
 Task Activity :
ldontisy and label he textuue

ad FRI Curent Level: Follsus Mathuctiens Gjood peHceiuing skills

mtodu ced
3T Specific Objective whon, to varicus tactiles wlll be able to
and label +and achiue identiby
3 menths
BS accuwray, alten a
peiod q
Material Requlred:

6hantanu Cwill
Procedure: be encounagd to
idantihy all the teuCh
and labet thom accoding
 12 13 14 15
S.no Task Entry Level 1 2 34 567 8 9 10 11

VPtvet|VPtc+VPtVP++C
Teuch the pis þictura
PP PP MPP+VPPPMtVP tPVP
lotei heu do yeu
2

3
Namothe teuch- Pe PPMP IPPcee M PPMPPMCcc
Touch the secend PPtIvetlctctvevetGtGt
Picture2
5
dentihyhewdoyeu Pe PeM PPMPPPPPeMC GPeMC
PPPPM P eelMPelMMPPCG|MPeC
6 a hd tuch
Touch al te þictue PPlPMPvetec tve t tVPt
achhy hew yu PPepMPP cMPee Pe PPMcctc
PPPPMPeMPPMPP\MPe PP MMt
,LHbe them
9

10

No of success percentage
-
 14 15
S.no Task Entry Level 1 2 3 4 67 8 9 10 11 12 13

1 Touch thefist pictue VPtctcltltltet ve tt VP

2 howdo oufoel
PtMMtctlGtc tc
Name the touch PPMM MM+VVetc t C
4
Touchthe seced þicke tVeltcttGtc tVeC
sldomiyhowdo ypu fedl PetVPtcPctG MtPP VP
aain
6 i the teuch PPPM MMPPttVPtVP VP
7 Touch. all he pictunes tM PPPPCclvpt+|Clc+G
8
heu you feol. ptvetttc+ett|VP+
Label Hem PPM Pe PPPccVe VP
10

No of success
percentage 3a3e 22a3 ty| fs/|ss;|444|S/|/|66/| 64-
 S.no Task
Entry Level 1 3 4 5 6 78 9 10 11
12 13 14 15
Teuchthe fist pictuna Etve t t|vel+ Et+
dentiy
heel
heudoy tet|ct|tG
3
Nama the touch tetve t
Touch tha seco
bctu dEvee|tla|tvet+
5
IdentiyhAN doyau ttt+c elt vet|+CtyPt
6 DIabelhe teuch tVectltUtE |+t+t+
Tou ch all the pctwes lctt+ctc ttlt VP
8
damtiksy heu you fea Ve tet4ctttt t
9Label ham VPt+c|+t|Pt|Vet|Pt
10

No of success percentage

Signature Trainee. Signature Trainer Signature Academic Head