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HoPALoNG 3 YEAR OLD ASSESSMENT

CHECKLIST

NAME………………………………………………………………………………………DATE………………………………

THERAPIST…………………………………………………………………………….. AGE………………………………….

FINE MOTOR SKILLS Achieved Partially Not


achieved achieved
Mature pincer grasps used to manipulate small objects
Stabilise objects with alternate ‘helper’ hand
Can close fist and wiggles thumbs in imitation (right and left)
Builds tower of 8-9 cubes
Copy train and bridge block designs from model:
Copies vertical line, horizontal line and circle
Imitates +
Draws primitive picture and names picture
Grasps pencil using static tripod grasp
Hand preference developed for tool use
Unscrews and screws on small bottle lid
Threads medium sized beads onto thick lace
Holds and snips paper with scissors
Completes 9 piece picture formboard puzzle

GROSS MOTOR SKILLS


Runs quickly around obstacles, without tripping or falling
Climbs confidently on playground equipment
Turns around obstacles while pushing/pulling large toys
Walks upstairs alone, alternating feet
Walks downstairs, 2 feet per step
Throws tennis ball underhand, towards an adult
Catch a medium sized ball with stiff arms, trapping against body
Kicks large stationary ball, with force
Jumps from step, with feet together, staying upright
Stands and walks on tip toe
Walks along 20cm wide balance beam, alternating feet, 3 meters
Stands momentarily on 1 foot, if shown
Sits with feet crossed at ankles
Rides tricycle using pedals

COGNITIVE SKILLS
Eats skilfully with fork and spoon
Washes and dries hands with supervision
Takes off shoes and socks, may attempt buckles
Puts on shoes (except fastenings)
Pulls underpants and pants down/up at toilet (except fastenings)
Dry through night
3 YEAR OLD ASSESSMENT CHECKLIST – CONT…

PLAY/SOCIAL SKILLS
General behaviour more amenable
Affectionate and confiding
Likes to help with adults activities in house and garden
Vivid make-believe and imaginative play, including invented
people/objects
Enjoys floor play with bricks, trains, cars, boxes, etc.
Engages in cooperative play with other children
Understands sharing toys and adults attention
Shows affection for younger siblings
Able to play for a short time independently

BASIC CONCEPTS
Adds arm, leg, eyes to incomplete picture of a person
Matches primary colours
Sorts colours, choice of 4
Knows 3 blocks

PEAKHURST NORTH STRATHFIELD Referrals- 1800 809 552


Unit 29, 17 Lorraine St, Suite 3, Level 1, 22 George St help@hopalong.com.au
Ph (02) 9153 0179 Fax (02) 9533 8827 Ph (02) 9746 8111 www.hopalong.com.au
All correspondence to our Peakhurst address please

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