| Item | Yes | No |
|---|---|---|
| Feeds self with spoon/fork | ||
| Washes and dries hands | ||
| Toilets independently | ||
| Puts on/takes off outer clothing |
| Item | Yes | No |
|---|---|---|
| Uses words to express needs | ||
| Listens and follows simple instructions | ||
| Responds when called by name | ||
| Makes needs known using gestures or words |
| Item | Yes | No |
|---|---|---|
| Plays cooperatively with peers | ||
| Takes turns and shares | ||
| Acknowledges others' feelings | ||
| Participates in group activities |
| Item | Yes | No |
|---|---|---|
| Uses crayons or markers | ||
| Stacks blocks or similar objects | ||
| Walks, runs, and climbs with ease | ||
| Dresses and undresses simple clothing |