PERSONAL SKILLS CHECKLIST Consumes food w/o cues of Consumes appropriate food Consumes appropriate portions Consumes food at appropriate s Eats w/ assistive techlogy (e.g. G-tube.) Eats with hands Eats with utensils Blows se Brushes teeth Takes shower/bath Washes hair Combs/brushes hair Shaves Uses toilet Wipes after toilet Pulls down pants and pulls up pants during toileting Manages feminine hygiene Selects appropriate clothes to wear Puts on clothes Able to handle tons/snaps/zippers Put on shoes Ties shoe laces Exercises Uses assistive techlogy to move about Walks
KITCHEN AND COOKING SKILLS Pours drink into cup of Makes simple meal (tered toast) Heats food in microwave Cooks food (e.g. scrambled eggs) Plans meal Sets table Clears table Puts dishes in sink/dishwasher Washes dishes Puts dishes away Puts away items used Wipes table, cooking area
CLEANING SKILLS Takes out trash of Makes bed Puts dirty clothes in hamper Washes clothes Puts away clothes after washing Vacuums rug Sweeps floor Dusts/wipes furniture
SHOPPING SKILLS Makes shopping list of Kws money has value Kws about food groups Chooses appropriate food Enters store Remains in store Pushes grocery cart Selects items to buy appropriately Kws to ask for assistance Kws his/her clothing sizes Purchases items with money Behaves according to social rms in store
COMMUNICATION SKILLS Has communicative intent of Uses n-verbal communication Uses assistive techlogy Talks in simple phrases Has understandable speech Uses the phone Requests by dialing 911 when appropriate Writes letter or e Takes part in online community Talks with friends
COMMUNITY LIVING SKILLS Associates with family members of Has friends Has long-term friends Attends community activities (church, restaurants, movies, concerts.) Behaves appropriately at community activities Belongs to club or regularly scheduled recreational activity volunteer work Works at paying job Attends school/college Manages money for community activities
KEEPING SAFE Turns off appliances after use of Uses microwave/oven appropriately Answers door only when appropriate Answers telephone appropriately Behaves appropriately in traffic Eats appropriate amounts of food when unsupervised Rides in car/bus appropriately use sharp tool/utensils appropriately Takes own medications appropriately Understands stranger danger Understands appropriate boundaries with friends/members of community
RELATIONSHIPS/SEXUALITY Has friends of other sex of Has special friends of other sex Has special friends of same sex name body parts Has basic understanding of his/her sexuality discuss relationship issues Is sexually active
TRANSPORTATION Walks of Uses assistive techlogy Rides in car Rides public bus Read/understands bus schedule Calls for ride Flies in airplane Drives a car Rides bicycle