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    Amps Escolar - Score Form

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    mbfarias
    This document is a two page form used to evaluate a student's performance on occupational therapy tasks. It includes sections to record the student's name and identifying information, the evaluating occupational therapist, observations of tasks performed, ratings of the student's quality of performance on factors like effort, efficiency and safety. It also includes spaces to record the classroom environment and any instructions given to the student during the task. The second page lists specific school motor, process and adaptive skills and includes a scale to rate the student's performance of each skill.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Amps Escolar - Score Form

    Uploaded by

    mbfarias
    296 views2 pages
    This document is a two page form used to evaluate a student's performance on occupational therapy tasks. It includes sections to record the student's name and identifying information, the evaluating occupational therapist, observations of tasks performed, ratings of the student's quality of performance on factors like effort, efficiency and safety. It also includes spaces to record the classroom environment and any instructions given to the student during the task. The second page lists specific school motor, process and adaptive skills and includes a scale to rate the student's performance of each skill.

    Original Description:

    Evaluación MOHO AMSP ESCOLAR

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    This document is a two page form used to evaluate a student's performance on occupational therapy tasks. It includes sections to record the student's name and identifying information, the evaluating occupational therapist, observations of tasks performed, ratings of the student's quality of performance on factors like effort, efficiency and safety. It also includes spaces to record the classroom environment and any instructions given to the student during the task. The second page lists specific school motor, process and adaptive skills and includes a scale to rate the student's performance of each skill.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    296 views2 pages

    Amps Escolar - Score Form

    Uploaded by

    mbfarias
    This document is a two page form used to evaluate a student's performance on occupational therapy tasks. It includes sections to record the student's name and identifying information, the evaluating occupational therapist, observations of tasks performed, ratings of the student's quality of performance on factors like effort, efficiency and safety. It also includes spaces to record the classroom environment and any instructions given to the student during the task. The second page lists specific school motor, process and adaptive skills and includes a scale to rate the student's performance of each skill.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    SCHOOL AMPS SCORE FORM (page 1 of 2)

    Name: _____________________________________________ OTAP ID number: ___________________________________

    Occupational therapist: ______________________________

    Gender: ____ Male ____ Female Major diagnosis: ____________________________________

    Birth date: _________________________________________ Secondary diagnosis: _______________________________

    Evaluation date: _____________________________________ Observation number: ____ 1 ____ 2 ____ 3 ____ 4

    Task number: ________ Task name: ________________________________________________________________________

    RATE THE STUDENT’S QUALITY OF PERFORMANCE (QoP) ON THIS TASK:

    No Questionable Minimal Moderate Marked Inordinate;


    problem cannot test

    Increased effort 1 2 3 4 5 6

    Decreased efficiency 1 2 3 4 5 6

    Decreased safety 1 2 3 4 5 6

    Assistance provided 1 2 3 4 5 6

    GLOBAL BASELINE STATEMENT: __________________________________________________________________________

    _______________________________________________________________________________________________________

    ________________________________________________________________________________________________________

    CLASSROOM ENVIRONMENT:

    _____ EXTREME QUIET _____ RELAXED ORDER _____ INCONSISTENT _____ CHAOTIC

    TRACKING TEACHER DIRECTIONS AND COMMENTS:


    Teacher directions to class/student before task General educational instructions or comments given to the class/student

    Teacher directions to student/class during task Specific verbal cues/assistance given to the student observed related to
    a task performance problem

    (This page may be photocopied)


    SCHOOL AMPS SCORE FORM (page 2 of 2)
    ITEM RAW SCORES
    School Motor Skills School Process Skills

    BODY POSITION SUSTAINING PERFORMANCE

    1. Stabilizes 4 3 2 1 16. Paces Already scored under school motor skills

    2. Aligns 4 3 2 1 17. Attends 4 3 2 1

    3. Positions 4 3 2 1 18. Heeds 4 3 2 1

    OBTAINING AND HOLDING OBJECTS APPLYING KNOWLEDGE

    4. Reaches 4 3 2 1 19. Chooses 4 3 2 1

    5. Bends 4 3 2 1 20. Uses 4 3 2 1

    6. Grips 4 3 2 1 21. Handles 4 3 2 1

    7. Manipulates 4 3 2 1 22. Inquires 4 3 2 1

    8. Coordinates 4 3 2 1 TEMPORAL ORGANIZATION

    MOVING SELF AND OBJECTS 23. Initiates 4 3 2 1

    9. Moves 4 3 2 1 24. Continues 4 3 2 1

    10. Lifts 4 3 2 1 25. Sequences 4 3 2 1

    11. Walks 4 3 2 1 26. Terminates 4 3 2 1

    12. Transports 4 3 2 1 ORGANIZING SPACE AND OBJECTS

    13. Calibrates 4 3 2 1 27. Searches/ 4 3 2 1


    Locates

    14. Flows 4 3 2 1 28. Gathers 4 3 2 1

    SUSTAINING PERFORMANCE 29. Organizes 4 3 2 1

    15. Endures 4 3 2 1 30. Restores 4 3 2 1

    16. Paces 4 3 2 1 31. Navigates 4 3 2 1

    ADAPTING PERFORMANCE

    32. Notices/ 4 3 2 1
    Responds

    33. Adjusts 4 3 2 1

    34. Accommodates 4 3 2 1

    35. Benefits 4 3 2 1

    (This page may be photocopied)

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