Gross Motor Skills
Pre-ambulatory Skill
Academic/Cognitive
Daily Living
Random
100

B4 3-0-5

what is skipping on one foot

100

A4 0-10-9

What is walking with one hand held?

100

F23 5-0-2

What is being able to identify lizard as an animal?

100

G2 1-6-3

What is being able to assist in undressing?

100

The child is able to identify a car as a non-living thing

What is F22 5-0-12?

200

The child is able to walk on a balance beam with both hands held

What is B8 1-6-1?

200

A1 0-4-9

what is able to grasp foot with hand?

200

The child is able to identify a school bus sign

What is E2 3-0-9?

200

G3 3-0-11

What is being able to assist in dressing and put on socks?

200

The child is able to support most weight on feet

What is A4 0-3-4?

300

The child is able to throw a tennis ball a distance of 10 feet

What is B10 4-0-5?

300

The child is able to sit briefly unsupported

What is A3 0-6-6?

300

The child is able to blend spi + der into spider

What is E3 4-0-6?

300

The child is able to spoon-feed without spilling

What is G1 2-0-34?

300

The child is able to catch a bounced tennis ball with both hands

What is B9 5-0-7

400

The child is able to walk backwards two steps and sideways two steps

What is B2 1-0-5?

400

The child is able to lift his/her head

What is A1 0-7-13?

400

The child is able to point to a dime

What is F18 2-0-3

400

The child is able to wipe nose without verbal cue

What is G8 5-0-10?

400

The child knows what to do when you cough

What is G9 5-0-14?

500

The child is able to participate well in group activities

What is H4 3-0-18?

500

The child is able to repeat three numbers

What is D14 3-0-2?

500

The child is able to wave ‘bye-bye’

What is D2 1-0-33?

500

The child is able to draw ears on a body

What is C5 5-0-12?

500

The child likes to reach and grab and also finish what he/she start

What is H3 5-0-31?