Early Start Denver Model Curriculum

Skill Level 1 Date

Receptive Communication
1 Localizes to sounds by turning toward sound source
2 Looks to playful vocal sounds (rasberry, whistle)
3 Responds to voice by turning toward person
4 Looks to indicated pictures as adult points to pictures in a book
5 Follows a proximal point to place objects in containers, puzzle pieces, etc
6 Looks when shown an object and told, "Name, look"
7 Looks to partner when name is called
8 Follows a proximal point to object or location
9 Follows a distal point to retrieve toy
10 Looks, reaches, or smiles in response to adult gestures and voice in social games
Looks, reaches, smiles, and/or gestures in response to adult language/gesture in
11
songs
Responds by stopping actions momentarily in response to inhibitory words (e.g.,
12
"no," "stop")
13 Gives object as verbally requested when paired with adult's outstretched hand
Performs one-step, routine instruction involving body actions paired with
14
verbal/gesture cue (e.g., "sit down," "come here," "clean up")
Performs one-step, routine instruction involving body actions paired without
15
accompaning gesture cue (e.g., "sit down," "come here," "clean up")
Total Score 0
Expressive Communication
1 Uses goal-directed reach to request
2 Vocalizes with intent
3 "Asks" for help by handing object to adult
4 Takes turn vocalizing with communication partner
5 Expresses refusal by pushing away object or giving object back to another person
6 Points proximally to request desired object
Makes eye contact to obtain a desired object when adult blocks access/ withholds
7
desired object
8 Points to indicate a choice between two objects
9 Combines vocalizations and gaze for intentional purposes
10 Points distally to request desired object
11 Points distally to indicate a choice between two objects
12 Vocalizes with CVCV reduplicative babbling (not necessarily word approximations)
13 Produces five or more consonants in spontaneous vocalizations
14 Produces CVCV with differing CV sequences (variegated babbling)
Total Score 0
Social Skills
1 Accepts brief sensory social activities and touch
2 Uses motor prompt to initiate or continue a sensory social routine
3 Attends briefly to another personwith eye contact
4 Maintains engagement in sensory social routines for 2 minutes
Responds to preferred objects/activities via eye gaze, reach, smiles, and
5
movements
 Early Start Denver Model Curriculum

6 Watches and engages with imitative adult during parallel toy play activities
Skill Level 1 Date
Social Skills (cont.)
7 Has repertoire of 5-10 sensory social games
8 Responds to greetings by looking, turning, etc
9 Responds to greetings by gesture or vocalizations
10 Shares smiles with partner during coordinated play
Total Score 0
Imitation
1 Imitates 8-10 one-step actions on objects
2 Imitates 10 visible motor actions inside song/game routines
3 Imitates invisible six motor actions on head, face inside song/game routines
4 Imitates six oral-facial movements
Total Score 0
Cognition
1 Matches/sorts identical objects
2 Matches/sorts identical pictures
3 Matches/sorts pictures to objects
4 Matches/sorts objects by color
Total Score 0
Play
1 Fits behavior to the qualities of five different objects
2 Plays independently and appropriately with 10 one-step toys
Plays independently with toys requiring repetition of the same action on various
3 objects (ring stacker, nesting cups)
Demonstrates appropriate play behaviors on a variety of one-step toddler toys:
4 throws ball, stacks blocks, pegs in holes, rolls car

5 Plays independently with toys requiring two different motor actions (take out, put in)
Plays independently with toys requiring several different motor actions (e.g., put in,
6 open, remove, close)
7 Demonstrates conventional actions on self with range on objects
8 Completes play task and puts away
Total Score 0
Fine Motor
1 Places one to two shapes in shape sorter
2 Places rings on ring stacker
3 Completes three-piece wooden handle puzzle
4 Puts pegs in peg board
5 Pushes buttons on five different types of cause-effect toys
6 Takes apart pop beads, Duplos
7 Uses a pincer grasp and three-finger grasp as appropriate to toy
8 Stacks three big blocks in a tower (or stacking cups)
9 Makes marks, lines, scribbles, and dots with marker/crayons
10 Bangs a toy hammer with balls, pegs, etc
11 Scoops, rakes, pours with sand, water, rice, etc
12 Stacks big Legos
 Early Start Denver Model Curriculum

Total Score 0

Skill Level 1 Date

Gross Motor
1 Kicks big ball
2 Walks up and down stairs with support; nonalternating feet
3 Climbs one to two steps up small ladder to slide
4 Gets on and off pieces of equipment
5 Protects self when off balance
6 Walks around objects on floor rather than stepping on them
7 Throws ball and bean bags any direction
8 Rolls ball back and forth with another person
Total Score 0
Behavior
1 Exhibits minimal severe behavioral difficulties
Sits in a chair or facing adult during pleasurable activities without difficulty for 1-2
2
minutes
3 Willingly engages in simple games in chair and on floor with adult for 5 minutes
Tolerates adult proximity and interaction (minimal demands) without problem
4
behaviors for 20 minute intervals
Interacts appropriately with family members (i.e., no aggression or other
5
inappropriate interactions)
Total Score 0
Personal Independence: Eating
1 Eats meals and snacks at the table
2 Eats meal independently
3 Uses an open cup
4 Uses a spoon
5 Uses a fork
6 Eats a variety of food textures, types, and food groups
7 Tolerates new foods on plate
8 Drinks from straw
Total Score 0
Personal Independence: Dressing
9 Removes each piece of clothing with assistance
10 Pulls on each piece of clothing with assistance
Total Score 0
Personal Independence: Grooming
11 Puts hands under running water
12 Dries hands on towel
13 Rubs washcoth on body, towel on body
14 Tolerates hair combing, nose wiping, and toothbrushing
15 Helps with hairbrush/comb
16 Puts toothbrush in mouth
Total Score 0
Personal Independence: Chores
 Early Start Denver Model Curriculum

17 Puts dirty clothes in hamper

18 Puts tissues in trash
Total Score 0

Skill Level 2 Jun-15

Receptive Communication
1 Follows instructions to "stop" or "wait" without prompts or gestures
Follows 8-10 one-step verbal instructions involving body actions and actions on
2
objects
3 Identifies by pointing or showingseveral named body parts on self or other person
Responds to verbal instruction to give/point/show for 8-10 specific objects in natural
4
play, dressing, eating routines (e.g., baby, chair, car, block, cup, bear)
Identifies by pointing and visually attends to three named pictures in a book
5
(including cup, car, dog, cat, baby)
6 Understands early spatial concepts (e.g., in, on)
7 Looks to people and photos of people when named - family, teachers, pets
Retrieves 8-10 verbally requested objects in room but not directly in front of child,
8
requiring some search
9 Upon verbal request (with gesture cues), completes two actions with one object
10 Points to named body parts in picture
Total Score 0
Expressive Communication
Uses target signs, or gestures with vocalizations to express (request, all done,
1
share, help, protest)
Produces 6-10 single words or approximations within the context of familiar
2
routines, sensory-social routines, songs
3 Spontaneously produces multiple words associated with play routine (roll, go, stop)
Functional use of 20 or more approximations of nominals (name of objects,
4 animals, people) and nonnominals (words that refer to actions or other relations: all
gone, up, etc)
5 Spontaneously labels objects and pictures
6 Vocalizes with varied intonation during songs, etc.
7 Requests and refuses using single words with gaze
8 Labels actions in context (e.g., during body movements and/or actions on objects)
9 Approximates names of three important people (includes self)
10 Shakes head and says "no" to refuse
11 Nods head "yes" and says "yes" to affirm
12 Asks (approximates) "What's that?" when encountering something unfamiliar
Total Score 0
Joint Attention Behaviors
Responds to "look" and offered object with gaze shift, body turn, and looks at
1
offered object
2 Responds to "look" and point by orienting to the indicated distal object/person
3 Gives or takes object from other person coordinated with eye contact
4 Responds to "show me" by extending object to adult
5 Spontaneously "shows" object
6 Spontaneously follows point or gaze (no verbal cue) to look at target
 Early Start Denver Model Curriculum

7 Spontaneously points to interesting objects

8 Shares smile with adult with alternating gaze during pleasurable object activity
Total Score 0

Skill Level 2 Jun-15

Social Skills: Adults or Peers
1 Initiates and maintains eye contact for communication
2 Verbally requests or physically initiates familiar social games
3 Returns affection behaviors: hugs, kisses to familiar people
4 Uses gesture or words to attain adult's attention
5 Responds to social greeting with "hi" or "bye-bye," and waves imitatively
6 Asks for help verbally or gesturally
Consistently coordinates eye contact with vocalization and/or gesture to direct
7
communication
8 "Dances" with another in circle games to music
9 Runs with another in "chase" game
Gains communication partner's attention using name of person or game and
10
initiates social game or acivity
Total Score 0
Social Skills with Peers
11 Gives object to peer when peer requests
12 Joins in with familiar song/finger plays in group setting
13 Continues with activity when peer joins in parallel play
14 Responds appropriately to peer's greetings
Takes turns with peer with simple action toys when peer requests; gives and takes
15
turns
16 Sits in group with peers and attends to adult's familiar instructions
17 Takes object from peer when peer offers
18 Passes objects to peers at table or in group when requested
19 Imitates peer's behavior occassionally in play activities
20 Plays picture-matching games (Memory, Lotto, etc) alone and with peer
Total Score 0
Imitation
Imitates a variety of vowel and consonant sounds during verbal approximations in
1
meaningful communications
2 Imitates animal sounds and other sounds
3 Imitates recognizable single words spontaneously and frequently in interactions
4 Imitates motions to five songs; imitates at least 10 different actions
5 Imitates/approximates novel actions in songs
6 Imitates actions on objects - multiple steps (play actions)
7 Imitates pretend play acts to self and partner with miniatures
8 Imitates two movement sequences in song/game routines
9 Imitates two-word phrases
Total Score 0
Cognition
1 Matches/sorts by shape
 Early Start Denver Model Curriculum

2 Matches/sorts by size
3 Matches/sorts designs, line drawings
4 Sorts similar objects into like groups
5 Sorts related common objects into functional groups
6 Searches/requests for missing object
7 Matches/sorts in two dimensions
8 Matches by quantities one through three
Skill Level 2 Jun-15
Total Score 0
Play: Representational
1 Combines related objects in play (cup on saucer, spoon in dish)
Imitates/produces sound effects with play (vocalizes on phone, makes car noises,
2
animal sounds with animals)
3 Caries out single action with a prop on a doll or animal
Combines funtionally related actions on a play theme (feeds and gives drink, puts
4
to bed and covers up)
Demonstrates a trial-and-error approach to problem solving with constructive toys;
5
schemas are flexible, not repetitive
Total Score 0
Play: Independent Play
6 Plays appropriately and flexibly for 10 minutes with only occassional adult attention
Can occupy self appropriately with open-ended materials for at least 10 minutes at
7
a time with occassional adult guidance
8 Gets materials, brings to table, completes play task, and puts away
Total Score 0
Fine Motor
1 Puts three or more shapes in shape sorter accurately
2 Stacks 8-10 1-inch blocks
3 Copies three or more simple block designs
Puts together five or more Duplos, pop beads, Tinker Toys, bristle blocks in varied
4
ways
5 Imitates five or more simple actions on play dough (roll, poke, pat, squeeze)
6 Puts multiple stickers on sheet
7 Opens and closes a variety of containers, including screw-on lids
8 Zips and unzips large zipper
9 Strings large objects with rope, thick string, or aquarium tubing
10 Imitates strokes, scribbles, and dots with marker, crayon
11 Snips paper with scissors
12 Places checkers and pennies in a slot
13 Strings a variety of beads on diferent types of string
14 Completes four- to six-piece single-inset puzzles
Total Score 0
Gross Motor
1 Imitates gross motor actions in a variety of positions (sitting, standing, moving)
2 Jumps off step and over obstacles on ground
3 Uses some equipment on playground (climbs, slides)
 Early Start Denver Model Curriculum

4 Sits on tricycle and pushes with feet or begins to pedal

5 Pulls wagon or pushes wheelbarrow
6 Kicks ball into target
7 Digs with shovel
Total Score 0
Personal Independence: Eating
1 Uses napkin when cued
2 Serves self food from bowl with utensil
3 Passes containers when instructed
Skill Level 2 Jun-15
Personal Independence: Eating (cont.)
4 Carries plate, cup, and silverware to sink or counter when finished
5 Stays at table with companion for duration of child's meal
6 Eats and behaves appropriately at fast food restaurants
7 Will touch or taste a new food that has been introduced multiple times
8 Eats from all food groups
9 Gets drink of water independently
Total Score 0
Personal Independence: Dressing
10 Removes all clothing independently and puts in hamper (no fasteners)
Completes some steps of putting on each piece of clothing independently (needs
11
help with fasteners)
12 Takes off jacket, hat (no fasteners), and puts on hook
Total Score 0
Personal Independence: Hygiene
13 Wipes face with warm cloth when instructed
14 Wipes nose when instructed
15 Participates in all steps of hand washing
16 Cooperates with hair washing/cutting
17 Plays with five bath toys appropriately
18 Puts toys away when requested at end of bath
19 Helps with lotion
20 Brushes toothbrush over teeth
21 Goes to sleep independently after bedtime ritual
22 Shows knowledge of sequence of bedtime routine
Total Score 0
Personal Independence: Chores
23 Sorts silverware from dishwasher tray to silverware tray
24 Unloads dryer into basket
25 Matches socks
26 Pours water/food into pet dish
Total Score 0

Skill Level 3 Jun-15

Receptive Communication
 Early Start Denver Model Curriculum
Attends and joins in with interest for 5-10 minutes as adult reads familiar books
1
using simple sentences
2 Follows one-step novel commands involving familiar objects/actions
Identifies many common objects and their pictures: clothing items, objects related
3
to meals, hygiene, play, foods
4 Responds appropriately to "yes/no" questions regarding preferences
5 Identifies five or more actions in pictures and books
Follows two or more instructions given in situational routines (bedtime: get a book
6
and get in bed; toothbrushing: get your toothbrush and the toothpaste)
7 Understands spatial relationships involving objects (e.g., under, next to)
8 Differentiates early size concepts - big/little
9 Differentiates at least four different colors upon request
Skill Level 3 Jun-15
Receptive Communication (cont.)
Identifies 20 items by sound (e.g., animals, telephone; "What animal says 'meow
10
meow'?"
Comprehends the function of common objects (ride, cut, eat, sleep, put on feet,
11
drink, etc.)
12 Understands pronoun referents "mine" and "yours"
13 Identifies 10 actions via pictures, choices, acting out
14 Follows two or more unrelated instructions in novel context
Total Score 0
Expressive Communication
Produces two- to three-word combinations for a variety of communicative intentions
1
(e.g., requesting, greeting, gining, attention, protesting)
2 Produces two or more word utterances to comment to another person
3 Labels actions in pictures and books
4 Comments and requests on location (up, down, in, on top)
5 Comments and requests using early possessive forms (mine, yours)
6 Gestures or vocalizes "I don’t know" in context
7 Consistently uses other people's names to get their attention
8 Delivers simple message to another person ("Go tell mommy 'hi' ")
9 Says "hi" and "bye-bye" appropriately, both initiating and in response
10 Uses pronouns for self and other (me and you variants)
11 Uses simple words and gestures to describe personal experiences
12 Names one to two colors
13 Responds appropriately to "what?" questions
14 Responds appropriately to where? questions
15 Responds appropriately to who?" questions
Asks simple "yes/no" questions using rising intonation (can be one-word utterance
16
with rising intonation)
17 Asks "what?" and "where?" questions
18 Answers simple information questions: name, age, color of shirt, etc
Total Score 0
Social Skills: Adults and Peers
1 Plays simple gross motor games (e.g., ball, "hide and seek," "ring around the rosy")
2 Shares and shows objects when partner requests
3 Imitates and carries out novel songs/finger plays in group situation
 Early Start Denver Model Curriculum

4 Responds appropriately to simple requests/instructions from peers

5 Initiates interactions and imitations of peers
6 Plays in familiar dramatic play routine with peer in parallel play
7 Takes turns with simple board games
8 Uses politemess terms: "please," "thank you," "excuse me"
Imitiates a variety of novel gross motor actions in standing and while moving, such
9
as in "follow the leader" or animal walks
10 Participates in play play activities involving verbal scripts
Frequently draws others' attention to objects verbally and gesturally to comment,
11
show, share, and request
12 Responds to others' bids for joint attention by looking and commenting

Skill Level 3 Jun-15

Receptively identifies affect (happy, sad, mad, scared) from photos, in others,
13
and/or in line drawings
14 Expressively identifies affect from photos, in others, and/or in line drawings
15 Makes own face reflect affect (happy, sad, mad, scared)
Total Score 0
Cognition
1 Matches letters in own name
2 Matches letters
3 Matches words
4 Matches numbers
5 Receptively and expressively identifies some letters, numbers, shapes, and colors
6 Plays games involving memory for hidden objects
7 Categorizes objects/pictures into eight classes
Understands relationships between quantities and number symbols through
8
number 5
9 Counts correct number of objects to five
Sequences three or more pictures in correct order and narrates sequence from
10
pictures using "first, then" language
Total Score 0
Play
Constructive play involves sequencing complex schemas with multiple coordinated
1
objects (e.g., trucks on road, blocks make building, beads make a necklace)
2 Links three or more related actions in a play sequence
3 Performs two or more linked actions on a doll or animal when instructed
4 Physically places figures on miniature furniture, vehicles, etc when appropriate
5 Carries out actions on doll or animal figures spontaneously
6 Arranges props for the theme
Total Score 0
Fine Motor
1 Completes five- to six-piece interlocking puzzle
2 Imitates drawing circle, cross, square, diagonal line
Imitiates and builds different block structures using a variety of building materials
3
(blocks, Legos, Tinker Toys, etc)
4 Laces a running stitch
5 Traces lines and curves with finger and writing tool
 Early Start Denver Model Curriculum

6 Uses a variety of tools to pick up and release objects: tongs, fork

7 Traces a variety of shapes
Uses scissors with appropriate grasp and uses opposite hand to stabilize and turn
8
paper
9 Cuts on a line - straight and curved lines
Carries out simple two-step art projects (cut and paste, stamp with ink pad; folds
10
paper and cuts on line)
11 Carries out several different schemas with play dough - uses a variety of tools
Total Score 0
Gross Motor
1 Rides tricycle well (pedals and steers, follows a route)
2 Kicks with good form and balance
3 Uses all playground equipment with supports
Skill Level 3 Jun-15
Plays chase game with adults and peers, running smoothly, changing direction with
4
good balance
5 Imitates gross motor actions with movement to songs and music
6 Throws underhand at target
7 Jumps forward with two feet together
8 Hops on one foot
Total Score 0
Personal Independence
1 Uses spoon, fork, and cup neatly and without spilling
2 Behaves appropriately at sit-down restaurant
Uses icons or other symbol systems for choices, schedule, etc. independently, if
3
needed at home and at school
4 Carries own materials to and from car, school, and home
Opens and closes backpack independently; puts in and removes objects when
5
requested
Dresses and undresses when appropriate (unfastens clothing fastener - zippers,
6
and snaps)
Total Score 0
Personal Independence: Hygiene
7 Uses toilet independently, all steps, when taken or sent
8 Manages clothing at toilet except for fasteners
9 Completes all the hand-washing steps independently
10 Wipes face with warm washcloth when handed to child
11 Runs brush or comb through hair
12 Covers mouth when coughing and sneezing
13 Assists actively in bathing and drying self after bath
14 Brushes teeth with toothbrush, using at least a few strokes
Total Score 0
Personal Independence: Chores
15 Feeds/waters a pet
16 Helps clear table
17 Helps empty dishwasher
18 Puts clean clothes in drawer
19 Picks up belongings when asked
 Early Start Denver Model Curriculum
Total Score 0

Skill Level 4 Jun-15

Receptive Communication
1 Understands a variety of descriptive physical relationship concepts
Retrieves 10-15 items using two to three multiple cues (e.g., size, quantity, color,
2
object label)
3 Understands gender pronouns
4 Understands comparatives: bigger, shorter, smaller, most, least, few, many, etc
Understands spatial relationships involving objects and prepositions: behind, in
5
back of, in front of
6 Understands negatives (e.g., the box with no balls, the boy who is not sitting)
7 Understands possessives and part-whole relations

Skill Level 4 Jun-15

Receptive Communication (cont.)
Demonstrates attention to short stories and comprehension of parts of the story by
8
responding to simple "wh" questions (what and who)
9 Responds to "yes/no" questions for identity
10 Answers questions about physical state
11 Responds to personal information questions
12 Understands "same" and "different"
13 Understands quantity concepts
14 Identifies features of objects
15 Responds to questions regarding category membership of objects/pictures
16 Understands past and future tense
17 Understands passive voice
18 Understands temporal relations
19 Follows three-part unrelated verbal instructions
Total Score 0
Expressive Communication
1 Responds to complex "wh" questions ("why?", "how?")
Describes object functions in response to question (e.g., "what do you do with a
2
spoon?"
3 Speaks in three- to four-word utterances consisently
4 Uses a variety of noun phrases
5 Uses prepositional phrases (e.g., under, next to, behind, in back, of, in front of)
Uses a variety of verb phrases (e.g., he cries, she likes him, he fell, he was happy,
6
he is sad, could, should, would)
Demonstrates accurate production of at least 80% of all consonants and consonant
7
blends within connected speech
8 Describes recent experiences using three- to four-word sentence
9 Requests permission to pursue an activity
10 Uses plural form
11 Uses later possessives (e.g., his, hers, Mommy's hat)
12 Uses irregular past tense
13 Uses articles such as a, an, the
14 Uses comparatives/superlatives
 Early Start Denver Model Curriculum

15 Uses negation with auxiliary verbs

16 Uses present progressive verb form
17 Uses words to describe physical states
18 Responds to questions about physical states: "what do you do when you are…?"
19 Uses category names for familiar objects
20 Describes features of objects
21 Uses reflexive pronouns
22 Answers telephone appropriately, including getting person
Participates in a conversation that is initiated by an adult for two to three
23 consecutive turns involving a variety of functions (e.g., reciprocal commenting,
responding to and requesting information)
Initiates and maintains a conversation on a self-generated topic of conversation
24
with an adult
25 Describes a two- to three-event sequence of activities (e.g., going to visit Grandma)
26 Expresses "I don’t know" paired with a gesture
Skill Level 4 Jun-15
27 Asks for clarification if doesn't understand what is said
28 Engages in a variety of topics during conversation
29 Reapairs own communication when listener does not understand
30 Answers questions about self and others
Total Score 0
Social Skills
1 Invites peer to play
2 Uses polite forms such as "excuse me", "sorry"
3 Seeks out others for comfort in a group situation
4 Expresses own feelings appropriately
5 Takes turns in informal play independently
6 Describes an event or experience to peer
7 Identifies what makes self feel happy, sad, mad, scared
8 Identifies others' emotions based on situational factors
9 Begins to develop coping strategies when feeling upset, mad, or scared
Total Score 0
Cognition
1 Counts rotely to 20
2 Counts objects with 1:1 correspondence to 10
3 Gives "one", "some", "a lot", "a little", "all of them", "more", and "most"
4 Gives quantities through 10
5 Knows terms for quantity concepts
6 Knows terms for spatial relations
7 Matches and understands 5-10 word/object associations
8 Can read some words
9 Can identify written name out of a field of five
10 "Reads" signs and symbols
11 Identifies numbers and letters
12 States opposites and analogies
Total Score 0
 Early Start Denver Model Curriculum

Play
1 Demonstrates actions of figures in play
2 Uses placeholder items to symbolize props in play
3 Labels actions and pretend props in play
4 Spontaneously links three or more related behaviors in a play theme
5 Directs partner in play
Plays out several life events (e.g., birthday party, McDonald's, doctor), including
6
use of verbal scripts
7 Plays out several story themes in play
8 Takes on character role and plays it out
9 Follows another's lead in play
Total Score 0
Fine Motor
1 Colors in a picture with accuracy using different colors
2 Imitates triangle, letters using appropriate drawing utensil
3 Draws lines and shapes and some letters and numbers from memory
4 Imitiates and copies a variety of letters, numbers, and shapes
Skill Level 4 Jun-15
Fine Motor (cont.)
5 Writes first name without a model
6 Traces shapes and letters
7 Colors in shapes that are outlined
8 Connects dots with drawing tool
9 Draws lines to and from corresponding pictures, words, or shapes
10 Copies a variety of simple representational drawings (e.g., face, tree, house)
11 Folds paper in half and puts in envelope
12 Cuts out angles, straight lines, and curves
13 Cuts out simple shapes
14 Completes three-step art projects- cut, color, and paste
15 Uses paintbrush, stamps, markers, pencils, erasers to complete art activities
16 Uses a tripod grasp with drawing tool

17 Builds with a variety of bulding materials with own design and copies simple models
from pictuers or 3-D models
18 Puts together interlocking puzzles, floor puzzles, tray puzzles
19 Uses tape, paper clips, keys appropriately
Total Score 0
Gross Motor
1 Plays catch with playground-sized ball with a peer
Throws tennis ball or baseball to another person with directionality using overhand
2
throw
3 Uses all playground equipment independently, including swing, merry-go-round

4 Kicks a moving ball

Plays various games with balls: Throws ball in basket, hits T-ball with bat, bounces
5
ball, golf club, beanbag toss
Rides bicycle cofidently with training wheels; able to control speed, maneuver, and
6
brake
 Early Start Denver Model Curriculum

7 Gallops and skips

8 Walks without falling off balance beam, railroad ties, sidewalk curbs
Plays typical motor games (e.g., "Red Light, Green Light," "Red Rover," "Freeze
9
Tag")
Total Score 0
Personal Independence
1 Manages all steps involved in toileting independently at the level of peers
2 Takes self to the toilet as needed
3 Washes hands independently at the level of peers
4 Washes face with washcloth independently
5 Independently brushes or combs hair
6 Actively assists with bathing, dries self after bath
Carries out all steps for toothbrushing independently, though adult may also brush
7
teeth for thoroughness
8 Fastens own clothing ---buttons, snaps, and zippers
9 Blows nose when cued, uses tissue to catch sneezes, covers cough and sneeze
10 Stops at street; crosses after looking both ways when accompanied
Skill Level 4 Jun-15
11 Walks safely beside adult independently in parking lots, stores, etc. -
12 Helps wth table setting -
13 Uses knife to spread -
14 Cleans up after spills -
15 Pours self drink from small container -
16 Places dishes in sink, counter, or dishwasher -
17 Makes two-step snack -
18 Assists with cooking acivities: stirs, pours, etc. -
Total Score 0
Notes
Early Start Denver Model Curriculum
 Child's name: Key: Score Date Color
Date of birth: 1st test:
1 2 2nd test:
Age at testing:
3 4 3rd test:
4th test:

Level 1
Receptive Expressive
Communication Communication Social Skills Imitation Cognition Play Fine Motor Gross Motor Behavior Personal Independence

18

Chores
17

16

15

14

Grooming
13

12

11

10

Dressing
9

Eating
4

1
Tester
 Level 2
Receptive Expressive
Communication Communication Social Skills Imitation Cognition Play Fine Motor Gross Motor Personal Independence

28

27

26

Chores
25
with Peers

24

23

22

21

20

19

18

Hygiene
17

16

15
Adults or Peers

14

13

12
Dressing
11

10

8
Independent

6
Joint Attention

Eating

5
Representational

2
1

Jo

Representati
 Level 3
Receptive Expressive
Communication Communication Social Skills Cognition Play Fine Motor Gross Motor Personal Independence

19

18

Chores
17

16

15

14

13

12

11

Hygiene
10

9
Adults or Peers

4
General

1
 Level 4
Receptive Expressive Personal
Communication Communication Social Skills Cognition Play Fine Motor Gross Motor Independence

30

29

28

27

26

25

24

23

22

21

20

19

18

17

16

15

14

13

12

11

10

2
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