Assessment Domains
- ABA Assessment
- Academic & Cognitive
- Cognitive Assessment
- Motor Skills
- Speech & Communication
- ADHD Screening
- Theory of Mind
- Learning Difficulties
- Adult Assessment
Applied Behavior Analysis (ABA) Assessment Form
Verbal Behavior & Language Skills
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| Skill Area | Score (0-5) | Notes |
|---|---|---|
| Mand (Requesting) - Ability to request desired items/activities | ||
| Tact (Labeling) - Ability to label objects, people, and actions | ||
| Echoic (Imitation) - Ability to repeat words and sounds | ||
| Intraverbal (Conversation) - Ability to engage in back-and-forth conversation | ||
| Listener Skills - Ability to follow instructions and understand language |
Behavior & Social Skills
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| Skill Area | Score (0-5) |
|---|---|
| Compliance & Following Directions | |
| Appropriate Social Interaction | |
| Behavior Management & Self-Control | |
| Play Skills & Engagement |
Academic & Cognitive Skills Assessment
Comprehensive assessment of Reading, Writing, Mathematics, and Cognitive & Executive Functioning skills
Cognitive & Executive Functioning
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Attention & Focus
| Skill | Score (0-5) |
|---|---|
| Sustained Attention - Ability to maintain focus on tasks | |
| Selective Attention - Ability to focus on relevant information | |
| Divided Attention - Ability to handle multiple tasks |
Memory & Processing Speed
| Skill | Score (0-5) |
|---|---|
| Immediate Recall - Short-term memory | |
| Delayed Recall - Long-term memory | |
| Processing Speed - Speed of cognitive processing |
Executive Functions
| Skill | Score (0-5) |
|---|---|
| Planning & Organization - Ability to plan and organize | |
| Problem-Solving - Ability to solve problems | |
| Flexibility & Adaptation - Ability to adapt to changes |
Reading & Literacy Skills
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Phonemic Awareness
| Skill | Score (0-5) |
|---|---|
| Phoneme Segmentation - Breaking words into individual sounds | |
| Phoneme Blending - Combining sounds to form words | |
| Phoneme Deletion - Removing sounds from words |
Word Recognition & Decoding
| Skill | Score (0-5) |
|---|---|
| Sight Word Recognition - Identifying common words automatically | |
| Phonetic Decoding - Using letter-sound relationships | |
| Reading Fluency - Speed and accuracy of reading |
Comprehension & Vocabulary
| Skill | Score (0-5) |
|---|---|
| Vocabulary Knowledge - Understanding word meanings | |
| Reading Comprehension - Understanding text content | |
| Inference Skills - Drawing conclusions from text |
️ Writing Skills
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Handwriting & Fine Motor
| Skill | Score (0-5) |
|---|---|
| Letter Formation - Correct shape and size of letters | |
| Spacing & Alignment - Proper spacing between letters and words | |
| Pencil Grip & Control - Appropriate grip and writing control |
Spelling & Grammar
| Skill | Score (0-5) |
|---|---|
| Sight Word Spelling - Spelling common words correctly | |
| Phonetic Spelling - Using sound-symbol relationships | |
| Sentence Structure - Proper grammar and punctuation |
Written Expression
| Skill | Score (0-5) |
|---|---|
| Idea Generation - Creating and organizing ideas | |
| Narrative Writing - Telling coherent stories |
Mathematics Skills
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Number Sense & Counting
| Skill | Score (0-5) |
|---|---|
| Counting Forward - Counting in sequence | |
| Number Identification - Recognizing and naming numbers | |
| Place Value Understanding - Understanding tens and ones |
Arithmetic Operations
| Skill | Score (0-5) |
|---|---|
| Addition & Subtraction - Basic operations | |
| Multiplication & Division - Advanced operations | |
| Fact Fluency - Automatic recall of math facts |
Problem-Solving & Reasoning
| Skill | Score (0-5) |
|---|---|
| Word Problem Solving - Understanding and solving story problems | |
| Mathematical Reasoning - Logical thinking and strategies |
Cognitive Assessment
Comprehensive assessment of cognitive abilities, reasoning, and intellectual functioning
Verbal Reasoning & Comprehension
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Perceptual & Visual Reasoning
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Memory & Learning
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Processing Speed & Attention
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Motor Skills Assessment
Gross Motor Skills
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Fine Motor Skills
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Speech & Communication Assessment
Comprehensive assessment of speech, communication, social interaction, and AAC needs
Speech & Language Skills
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Receptive Language
Expressive Language
Speech & Articulation
Social Interaction Skills
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Augmentative & Alternative Communication (AAC) Assessment
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AAC Needs & Abilities
1. Speech intelligibility and functional communication ability
2. Motor control and fine motor skills for AAC use
3. Cognitive ability to use AAC system
4. Preferred AAC modality
5. Current AAC system usage and effectiveness
ADHD Screening Assessment
Comprehensive ADHD screening based on DSM-5 criteria
Inattention Symptoms
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1. Difficulty sustaining attention in tasks or play
2. Appears not to listen when spoken to directly
3. Fails to follow through on instructions
4. Difficulty organizing tasks and activities
5. Avoids tasks requiring sustained mental effort
Hyperactivity-Impulsivity Symptoms
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6. Fidgets with hands or feet or squirms in seat
7. Leaves seat when expected to remain seated
8. Runs about or climbs excessively
9. Difficulty engaging in quiet activities
10. Talks excessively
Theory of Mind Assessment
Assessment of understanding of mental states, beliefs, and perspectives
False Belief Understanding
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1. Understands that people can have false beliefs about objects
2. Understands that people can have different beliefs about the same situation
Desire & Intention Understanding
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3. Understands that people have different desires and preferences
4. Understands that people's actions are driven by their intentions
Emotion & Mental State Understanding
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5. Recognizes and names basic emotions (happy, sad, angry, scared)
6. Understands that emotions are caused by situations and beliefs
Perspective-Taking & Empathy
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7. Can take another person's perspective in simple situations
8. Shows empathy and concern for others' feelings
Learning Difficulties Assessment
Comprehensive assessment for identifying specific learning difficulties and dyslexia indicators
Dyslexia Indicators
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1. Difficulty with phonological awareness (rhyming, syllable segmentation)
2. Slow reading speed and poor fluency
3. Difficulty with letter-sound correspondence
4. Spelling difficulties and reversals (b/d, p/q)
5. Difficulty with word retrieval and naming
Dyscalculia Indicators
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6. Difficulty understanding number concepts and quantity
7. Difficulty with basic arithmetic operations
8. Difficulty with time, money, and measurement concepts
Dysgraphia Indicators
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9. Poor handwriting and letter formation
10. Difficulty organizing thoughts in written form
11. Slow writing speed and fatigue during writing
General Learning Difficulties
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12. Difficulty with memory and retention of information
13. Difficulty with sequencing and following multi-step instructions
14. Difficulty with abstract thinking and problem-solving
Adult Assessment
Comprehensive assessment for adult functioning and skills
Cognitive & Intellectual Functioning
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Occupational & Work Skills
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Independent Living Skills
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Social & Emotional Functioning
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Community & Leisure Skills
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