Free Occupational Therapy Evaluation Template
Occupational Therapy Evaluation
[YOUR COMPANY NAME]
Date: [DATE]
Introduction: This evaluation form is designed to monitor and assess the progress of occupational therapy clients. It focuses on documenting changes and functional abilities.
Overview: The evaluation is crucial for adjusting intervention strategies over time to achieve desired outcomes. Clearly defined criteria guide the process, offering an organized and systematic approach to evaluation.
Criteria: The assessment focuses on six key performance metrics or criteria: Basic Motor Skills, Fine Motor Skills, Cognitive Rehabilitation, Daily Activities Independence, Sensory Integration, and Emotional Health.
Ratings on the scale signify the following:
1 - Needs Significant Improvement
2 - Below Average
3 - Average
4 - Above Average
5 - Excellent
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Criteria |
Description |
Rating Scale (1-5) |
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Basic Motor Skills |
Assessment of client's reflexes, conditioning, and overall physical coordination. |
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Fine Motor Skills |
Evaluation of the ability to manipulate small objects, hand-eye coordination, and precision. |
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Cognitive Rehabilitation |
Marks the enhancement in cognitive skills such as memory, attention, perception, learning, etc. |
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Daily Activities Independence |
Analyzes the ease with which clients can complete daily tasks independently, including self-care, cooking, cleaning, etc. |
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Sensory Integration |
Evaluates how well clients can process and respond to sensory stimuli. |
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Emotional Health |
Assesses improvement in emotive expressions, emotional self-regulation, and overall emotional well-being. |
Additional Comment
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Additional Comments |
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