Fine and Gross Motor Development Screener (3-4 Years)
The following questions are based on clinical milestone guidelines. Answering "no" to a question does not mean that your child has a fine or gross motor delay or disorder, answering "no" to many or most of the questions may mean that further evaluation or a free in-person screener at Spark Therapies may be recommended to ensure your child is developing as they should be.

After inputting your email address and name, please answer Yes or No to the following questions.
Email address *
Your Name *
Your answer
What is Occupational Therapy?
Occupational Therapy or OT, is a form of movement therapy that helps kids who struggle with everyday fine and gross motor tasks that are crucial to their development and lives. Occupational therapy can also be used to help kids who struggle with self-regulation and sensory processing issues and improves confidence in the classroom, at home, and at play. A therapist uses a variety of fun and creative movements, exercises, tools, and pieces of equipment to best meet the needs of each child.
Gross Motor Section
Gross Motor (physical) skills are those which require whole body movement and which involve the large (core stabilizing) muscles of the body to perform everyday functions, such as standing, walking, running, and sitting upright. It also includes eye-hand coordination skills such as ball skills (throwing, catching, kicking).
Walks up stairs *
Stands on one foot and tip toes *
Catches a ball that has been bounced *
Imitates simple bilateral movements of limbs (e.g. arms up together) *
Climbs jungle gym and ladders *
Pedals a tricycle *
Walks up/down stairs alternating feet *
Jumps in place with two feet together *
Kicks a ball *
Jumps over an object and lands with both feet together *
Runs around obstacles *
Fine Motor
Fine motor skills are finger and hand skills such as writing, cutting, opening lunch boxes, and tying shoelaces. The development of these skills relies upon the age appropriate development of physical skills (gross motor skills) providing the stable base from which the arm and hand can then move with control.
Holds crayon with thumb and fingers (not fist) *
Turns single pages of a book *
Snips with scissors *
Uses one hand consistently in most activities *
Imitates circular, vertical, and horizontal strokes when drawing *
Paints with some wrist action, makes dots, lines, circular strokes *
Rolls, pounds, squeezes, and pulls playdough *
Eats without assistance *
Builds tower of nine small blocks *
Copies circle when given dotted or guide lines *
Manipulates clay material (rolls balls, makes snakes, cookies) *
Uses non-dominant hand to assist and stabilise the use of objects *
Uses non-dominant hand to assist and stabilise the use of objects *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Spark Therapies. Report Abuse