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Occupational Therapy Screening Tool

This quick online screening takes just 1–2 minutes to complete. Simply answer "yes" or "no" to each question based on your child’s behaviors and responses over the past month.

Screening Disclaimer

Avoids touching or being touched (especially if unexpected).
Yes
No
Dislikes getting dirty (ie: touching sand, having sticky hands).
Yes
No
Seems unaware of pain.
Yes
No
Gets upset with routine daily tasks such as getting dressed, bathing, washing hair or cutting nails?
Yes
No
Poor eye contact and/or difficulty interacting with peers and/or adults.
Yes
No
Covers ears and/or becomes upset and/or complains about loud noises.
Yes
No
Has difficulty with handwriting that could include pencil grasp, letter formation, sizing and spacing of letters, pressing too hard and breaking the pencil, or unable to keep up pace.
Yes
No
Has difficulty following directions or completing multi-step routines often.
Yes
No
Limited diet (Does not eat cerain foods due to texture, temperature, and/or gags on foods).
Yes
No
Avoids movement activities (i.e., swings, slides, curbs or steps, etc).
Yes
No
Always in constant motion (i.e., fidgety, difficult time sitting still, falls out of chairs).
Yes
No
Overtly rough when playing.
Yes
No
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