Child/Parent Evaluation Assignment

Student Name: _Kayla Burton________________________

Components Insufficient Proficient Outstanding
Identifying Information
Background Information
Race & living context X
Purpose of evaluation X
History X
Child’s occupational profile +1
Description of COPM
Purpose X
How administered X
Who responded X
How to score X
How to interpret X
Chart X
Interpretation +1
Score sheet submitted X
2nd test - BOT-2
Purpose X
How administered X
How to score X
How to interpret X
Chart X
Interpretation X
Score sheet submitted X
3rd test – VMI or Handwriting test
Purpose X
How administered X
How to score X
How to interpret X
Chart X
Interpretation X
Score sheet submitted X
Performance Observations
Behavior during testing X
Hand preference X
Posture during writing X
Pencil manipulation X
Other observations X
Summary
Social participation X
Other interview info X
Observations X
Related to occupational +1
performance
Recommendations +1
Overall quality
OT related/ Use of terminology X
Grammar, spelling, etc. X
Grading Process
Demonstrates “proficient” level of skill 88/100
in all areas =
Add 1 point for each “outstanding” + 4
Subtract 1 point for each “insufficient” -
Final Grade 92
 Child/Parent Evaluation Assignment
Student Name: _Kayla Burton________________________
Comments: