"Self-care Checklists Template"

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SELF-CARE CHECKLISTS
The focus of the VB-MAPP is primarily on communication and social
skills. However, self-care skills are an important part of the child’s growing
independence. The following self-care checklists can be used for assessment
and skills tracking. The list can be downloaded and printed as needed to
complete your child’s program. As always, the procedures derived from
applied behavior analysis provide the best way to teach these skills.
Print as Needed VB-MAPP Supplement - Self-care
www.avbpress.com
SELF-CARE CHECKLISTS
The focus of the VB-MAPP is primarily on communication and social
skills. However, self-care skills are an important part of the child’s growing
independence. The following self-care checklists can be used for assessment
and skills tracking. The list can be downloaded and printed as needed to
complete your child’s program. As always, the procedures derived from
applied behavior analysis provide the best way to teach these skills.
Print as Needed VB-MAPP Supplement - Self-care
www.avbpress.com
DRESSING – BY ABOUT 18 MONTHS
___ Pulls a hat off
___ Pulls socks off
___ Pulls mittens off
___ Pulls shoes off (may need help with laces, buckles and velcro straps)
___ Pulls coat off (may need assistance unbuttoning and unzipping)
___ Pulls pants down (may need assistance unbuttoning and unzipping)
___ Pulls pants up (but may need help getting pants over a diaper, and with
buttoning, snapping and zipping)
DRESSING – BY ABOUT 30 MONTHS
___ Unties shoe laces
___ Unbuttons front buttons
___ Unsnaps
___ Fastens and unfastens velcro
___ Unzips front zippers (smaller zippers may be difficult)
___ Removes shirt (tight shirts may require assistance)
___ Removes pants or skirts (may need help unzipping and unbuttoning)
___ Puts on shoes (needs help discriminating right from left and tying)
___ Puts on pants (may need help zipping and buttoning up)
___ Adjusts clothing
___ Matches own socks
___ Matches own shoes
___ Puts dirty clothes in a hamper
DRESSING – BY ABOUT 48 MONTHS
___ Undresses (but may need help with tight pullover clothes)
___ Dresses (may need help with back buttons and zippers such as on a dress)
___ Puts on coat
___ Puts on socks
___ Puts on pants
___ Buckles and unbuckles most buckles (some may be more difficult)
___ Zips and unzips front zippers
___ Buttons and unbuttons front buttons
___ Snaps and unsnaps front snaps
___ Attempts to lace shoes
___ Puts on shoes (discriminating right from left with a stimulus prompt)
___ Attempts to tie shoes
___ Hangs up own clothes on a hook
___ Hangs up own clothes on a hanger (with assistance)
___ Folds own clothes
___ Puts clothes in drawer
Print as Needed VB-MAPP Supplement - Self-care
www.avbpress.com
BATHING AND GOOMING – BY ABOUT 18 MONTHS
___ Wipes nose with a tissue (with assistance)
___ Washes hands (with assistance)
___ Dries hands (with assistance)
___ Attempts toothbrushing (with assistance)
BATHING AND GROOMING – BY ABOUT 30 MONTHS
___ Attempts to use a washcloth and soap while bathing (with assistance)
___ Brushes teeth (with assistance)
___ Washes face (with assistance)
___ Dries face
___ Attempts to wash hands independently
___ Dries hands
___ Attempts to brush hair (but needs assistance)
BATHING AND GROOMING – BY ABOUT 48 MONTHS
___ Wipes nose with a tissue and puts it in the trash
___ Uses a washcloth and soap when bathing
___ Washes hair (with assistance for longer hair)
___ Brushes teeth
___ Flosses teeth (with assistance)
___ Washes hands
___ Washes face
___ Dries both face and hands
___ Hangs up towel after washing
___ Brushes hair (with assistance for longer hair)
Print as Needed VB-MAPP Supplement – Self-care
www.avbpress.com
FEEDING – BY ABOUT 18 MONTHS
___ Eats finger foods
___ Drinks from a cup by self
___ Uses a spoon to scoop food
___ Sucks from a straw
FEEDING – BY ABOUT 30 MONTHS
___ Uses a fork to pick up food
___ Uses a napkin
___ Carries own lunch box or plate to table
___ Opens own lunch box
___ Opens ziploc bags
___ Unwraps partially opened food packaging
___ Puts a straw into a juice box
___ Peels a banana
___ Takes off own bib
FEEDING – BY ABOUT 48 MONTHS
___ Uses side of fork to cut softer foods
___ Uses a knife for spreading
___ Uses a knife for cutting (softer foods)
___ Keeps eating area reasonably clean while eating
___ Unwraps most food packaging
___ Opens milk or juice container
___ Pours liquids into a cup or bowl (from a small pitcher or lunch thermos)
___ Helps to prepare simple foods (spreading, stirring, using cookie cutters,
holding a beater, measuring ingredients, pouring ingredients)
___ Helps to set the table for meals
___ Takes dishes to the sink
___ Wipes the table with a sponge or dish towel
Print as Needed VB-MAPP Supplement – Self-care
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TOILETING – READINESS SKILLS - BY ABOUT 24 MONTHS
___ Responds to reinforcement
___ Follows simple directions
___ Seems uncomfortable in soiled diapers
___ Remains dry for 2 hours at a time
___ Bowel movements are predictable and regular
___ Pulls pants down
___ Pulls pants up
___ Can sit still for 2 minutes at a time
TOILETING – BY ABOUT 36 MONTHS
___ Has learned a word, sign or PECS for using the toilet (e.g., potty, pee, sign
for toilet)
___ Mands to use the toilet
___ Unbuttons, unsnaps or unzips pants
___ Sits on toilet
___ Urinates on toilet
___ Wipes after urinating (girls)
___ Deficates on toilet
___ Wipes after deficating (with assistance)
___ Pulls underwear up
___ Pulls pants up
___ Zips, snaps or buttons pants (with some assistance)
___ Flushes toilet
___ Washes hands (with some assistance)
___ Dries hands
TOILETING – BY ABOUT 48 MONTHS
___ Aims into toilet standing (boys)
___ Wipes self (girls wipe from front to back)
___ Zips front zippers
___ Buttons front buttons
___ Snaps front snaps
___ Washes and dries hands - as part of the toileting routine
___ Night-time trained (may still have accidents)
Print as Needed VB-MAPP Supplement – Self-care
www.avbpress.com