PLAY EVALUATION
PLAY EVALUATION
1.
General Information:
1. Name
2. age
3. Sex
4. Date
of evaluation
5. Hospital
NO(IP/OP)
6. Diagnosis
7. Informant(s):
8.
Presenting Problem:
2.
Previous Play Experiences
1.
Solitary play
2.
Play with others: Mother, father , sisters, brothers, playmates ,other family
members, pets
3.
Play with toys and materials (earliest
preferences)
4.
Gross physical play
5.
Pretend and make-believe play
6.
Sports and games: group collaboration
group competition
7.
Creative interests: arts crafts
8.
Hobbies, collections, other leisure time
activities
9.
Recreation/social activities
3.
Actual Play Examination
1.
With
what does
the child play? Toys materials pets
2.
How does
the child play with toys and other materials?
3.
What type of play is avoided or liked least?
4.
With whom does
the child play? Self-parents brothers sisters peers others
5.
How does
the child play with others?
6.
What body
postures does the child use during play?
7.
How long does
the child play with objects? with people?
8.
Where does
the child play? home: indoors /outdoors, community: park/school church other
areas
9.
When does
the child play?daily schedule for weekday and weekend
4.
Describe the physical setting
Who was present?
5. Play development
6. Type of play -According to
classification
·
Cognitive
·
Behavioural
·
Social
7.
Describe the activities performed
by the child
7.1.Gross
Motor
·
Balance:
·
Coordination:
·
Motor Planning:
·
Sequencing:
·
Endurance:
·
Mobility:
·
Quality of Movement:
·
Overall Skill
7.2.Fine
Motor
·
Manipulation of Objects:
·
Grip:
·
Strength:
·
Overall Effectiveness:
7.3.Social
·
Participation:
·
Negotiating:
·
Peer Interactions:
·
Sharing:
7.4.Imitative
·
Creativity:
·
Novelty:
·
Use of Toys:
7.5.Language
·
Expression:
·
Communication:
·
Imagination:
7.6.
Attitude
·
Approach:
·
Affect:
·
Spontaneity:
·
Teasing:
·
Mischief:
8.
Describe the adult supervision. Did
it facilitate or inhibit play?
9.
Play
Description
10.
Play Prescription
11. Progress Record
****
Before play evaluation therapist should be assess in depth knowledge patient
status
Comments