11-14 y/o Developmental Checklist

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We are often asked if a child is on track so we created a survey to see!

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What is your child's date of birth? *

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Does your child: *

Fatigue easily, have poor endurance

Frequently shift positions appearing inattentive

Use an inappropriate style of language for a specific listener (i.e. speaks to adults like they would a peer)

Trip or stumble easily, have difficulty with uneven surfaces

Have difficulty with two handed tasks (e.g. cutting accurately with scissors, opening containers)

Struggle to see situations from perspectives other than their own

Keep head too close to the table top, leans on arms

Appear clumsy/awkward when participating in group sport skills

Sit in a “W” position on floor

Use inappropriate or immature social skills (i.e. mocking, teasing, name-calling, inappropriate bodily functions, poor turn-taking skills, difficulty initiating conversations or maintaining the topic)

Complete written work slowly OR rush through it leading to incomplete, illegible, messy, or disorganized work

Get confused or angry when others don’t understand his/her message or has difficulty correcting misunderstandings

Have difficulty with managing conflict without insulting.

Have difficulty joining in a peer group, tends to watch others

None of the above

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