Child OT Check-inTherapist records

Caregiver questionnaire · Ages 0–16

A clearer picture of everyday skills.

Answer age-specific questions about movement, hand use, daily routines and participation. Save a summary you can discuss with an occupational therapist.

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A note about this questionnaire

This is an informal record of caregiver observations, not a validated clinical screening test or diagnosis. If you have concerns, a qualified occupational therapist can advise on assessment and support.