Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015

for Javin Saito (2090)

A) COOPERATION AND REINFORCER EFFECTIVENESS
A8. When Javin is participating in learning activities, will he sit calmly, wait for the instructor to ask him to
do a task, and keep his hands off the materials until he is told what to do?
2= While sitting or standing in front of task materials Javin consistently waits calmly orienting towards the materials without
requiring prompts to leave the materials alone
1= requires only one prompt to sit/stand nicely or keep hands off the materials

When an instructor is attempting to engage Javin in learning activities (at a table, while seated on the floor, or standing near
materials for an activity), Javin will wait calmly, remain generally oriented towards the instructor and materials, and will keep his
hands away from the instructional materials until an instruction is presented.

A9. When Javin is participating in a learning activity, does he scan the materials and then look at the
instructor to see what he should do next?
2= after scanning materials
Javin consistently looks to the instructor for the next instruction
1= after scanning materials
Javin requires only one prompt to orient to the instructor for an instruction to be presented

When engaged in an obvious series of learning tasks, Javin will scan the materials and look at the instructor to seek the instruction
for the next task.

A10. When Javin is participating in a learning activity that involves instructional materials, does Javin scan
the materials prior to responding to instructions?
2= can consistently scan up to 6 task-related items within 3 seconds (prior to responding)
1= can consistently scan up to 3 task-related items within 3 seconds (prior to responding)

When an instruction is presented during a series of learning tasks that involve instructional materials, Javin will attend to the
instruction then scan the materials prior to responding to the instruction.

A13. Will Javin work for intermittent (occasionally delivered) reinforcement?

4= engages in 5 acquisition responses for an edible or tangible reinforcer
3= 2 acquisition & 3 maintenance responses for a reinforcer 2= 4 maintenance responses for an edible or tangible reinforcer 1= 2
maintenance responses for an edible or tangible reinforcer

Javin will work for intermittent reinforcement.

A14. Will Javin work to get to do a fun activity (reinforcement) with the instructor?
4= engages in 5 acquisition responses for instructor interaction reinforcer
3= 2 acquisition & 3 maintenance responses for instructor interaction 2= 4 maintenance responses for instructor interaction
1= 2 maintenance responses for instructor interaction reinforcer

Javin will work for reinforcement that involves fun interaction with the instructor.

A15. When Javin is participating in a learning activity, does he look for changes in the instructor's facial
expression and voice that provide feedback regarding the correctness of the response?
2= looks at instructors to seek feedback when finished responding at least 70% of the time
1= occasionally looks at instructors to seek feedback when finished responding (without the instructor using highly-exaggerated
changes in behavior to get Javin to notice)

After completing a task when engaged in a series of learning activities, Javin will orient to the instructor such as to observe the
changes in the instructor's facial expression and voice that provide feedback regarding the correctness of the response.

A16. Does praise serve as an effective reinforcer?

4= works for 15 minutes for only praise
3= works for praise for 15 min. with a back-up reinforcer
2= works for praise for 5 min. with back-up reinforcer
1= works for praise for 3 responses prior to receiving a back-up reinforcer

Praise will serve as an effective reinforcer for Javin.

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Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015
for Javin Saito (2090)

A17. Does Javin wait appropriately if a reinforcer is not delivered immediately following a behavior?
4= waits 5 minutes
3= 1 minute
2=10 seconds
1= 5 seconds

Javin will be able to wait appropriately if a reinforcer is not delivered immediately following a behavior.

A18. Does Javin seek approval for work which he has done well or completed?
2= asks others to see what they have done
1= looks to see if others have noticed what they have done

Javin will seek recognition for his accomplishments.

A19. Does the completion of a task serve as an effective reinforcer?

2= works independently 10 minutes to complete task for recognition of task completion
1= works independently for 5 minutes to complete a task with only praise as the reinforcer

Completion of a task serves as an effective reinforcer for Javin.

B) VISUAL PERFORMANCE
B7. Is Javin able to match pictures to an identical picture in an array of ten pictures in a one-after-the-other
manner?
2= can match at least 10 items in 30 seconds
1= can match 5 separate items in 15 seconds

When given a group of ten pictures of items, Javin will match those pictures to an identical picture in an array of ten pictures in
quick succession.

B8. Can Javin sort non-identical items into piles when samples of those items are displayed in an array (e.g.,
dogs, trees, people)?
4= given 20 items (5 each of 4 items)
can sort 10 or more types of items into an array of 4 samples
3= given 12 items (3 each of 4 items)
can sort at least 6 types of items into array of 4 samples
2= given 6 items (2 each of 3 items)
can sort at least 4 types of items into array of 3 samples
1= given 4 items (2 each of 2 items)
can sort 2 types of items into an array of 2 samples

When given a variety of non-identical objects or pictures representing three items, and given an array of sample items for each of
the three items, Javin will sort non-identical items into the appropriate groups (e.g., all the dogs, all the trees, all the people).

B9. Can Javin do block designs on a picture card?

4= can quickly complete designs with 6 or more blocks (some extras)
3= 4 or more blocks (some extras)
2= can do up to 4 blocks (no extras)
1= can do designs using 2 blocks (no extras)

When given a block design card, Javin will place the blocks in the appropriate location on the design card disregarding extra blocks.

B12. Can Javin do block designs from looking at a picture of a design?

4= can quickly complete designs with 6 or more pieces (some extra blocks)
3= 4 or more parts (extras)
2= can do up to 4 pieces (no extras)
1= can do designs using 2 blocks (no extra blocks)

When given a block design card, Javin will place blocks to make the design shown on the card.

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Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015
for Javin Saito (2090)

B13. Can Javin match a pattern of visual stimuli?

4= can match sequence of 8 pieces comprised of 4 different items when given extra pieces
3= 8 pieces of 4 items with no extras
2= 6 pieces of three items with no extras
1= 6 pieces of two items with no extras

When given a visual sequence pattern consisting of items (e.g., colored blocks), Javin will arrange items to match the pattern.

B15. Can Javin complete standard jigsaw puzzles (i.e., interlocking pieces without a frame)?
4= at least four puzzles with 12 pieces
3= two puzzles with 12 pieces
2= two puzzles with 8 pieces
1= one puzzle with at least 8 pieces

When given a standard jigsaw puzzle (interlocking pieces without a frame), Javin will correctly complete the puzzle.

B16. When given a display of objects or pictures and given a different item, can Javin match the item from
the display that is associated with the item being presented (e.g., match a bat to a ball when shown an array
of a ball, a cup, and a shoe)?
4= can match at least 2 related pictures for 20 or more items
3= 2 related pictures for 10 items
2= 1 related picture for 10 items
1= can match at least 1 related picture for 5 items

Given an array of items or pictures, Javin will be able to match an item that is associated with one of the items in the array (e.g.,
match a bat to picture of a ball).

B17. When provided with a model of items that are used for a certain function, can Javin sort pictures of
items into groups of items that have the same function (e.g., scissors with ones you cut with, pen with things
you write with)?
4= at least 5 items from 4 functions
3= at least 5 items from 3 functions
2= at least 5 items from 2 functions
1= at least 2 items from 2 functions

When provided with a sample of two items that have different functions and shown a demonstration of matching another item that
has the same function, Javin will be able to sort additional pictures that have the same functions with the correct sample items.

B18. When provided with a model of items that have a certain feature/part, can Javin sort pictures of items
into groups of items that have the same feature/part (e.g., dog with the ones that have tails, car with the
ones that have wheels, blue items with blue items, striped items with other things that have stripes)?
4= at least 5 items from 4 features/parts
3= at least 5 items from 3 features/parts
2= at least 5 items from 2 features/parts
1= at least 2 items from 2 features/parts

When provided with a sample of two of items that have different features/parts and shown a demonstration of matching another
item that has the same feature/part, Javin will be able to sort additional pictures that have the same features/parts with the correct
sample items.

B19. Can Javin sort pictures of items into classes to which the item belongs when provided with a model of
items from each class (e.g., dog with other animals, shirt with other clothing)?
4= at least 5 items from 4 classes
3= at least 5 items from 3 classes
2= at least 5 items from 2 classes
1= at least 2 items from 2 classes

When provided with a sample of three different classes of items and shown a demonstration of matching another member of each
class, Javin will be able to sort additional pictures that match the class to which the item belongs.

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Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015
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B20. Can Javin replicate a sequence of items after having been shown a model of items in a specific
sequence and then having the model removed?
4= immediately
with three items after 5 second delay,3= three items with two second delay or two items with 5 second delay
2= two items in two seconds without prompts
1= two items with 2 second delay with only verbal or gestural prompts

After having been shown a model of items in a specific sequence and then having the model removed, Javin will be able to replicate
the sequence.

B21. Can Javin find an item which had previously been shown to him after it has been removed, and then
presented in an array of three items (one being the same as the original item)?
4= after 5 second delay
can find any one of 10 items within 3 seconds
when presented an array of 5 items
3= after 3 second delay
can find any one of 5 items within 3 seconds
2= after 3 second delay
can find any one of 5 items within 3 seconds
when presented an array of 3 items
1= after 2 second delay
can find any one of 3 items within 3 seconds
when presented an array of 2 items

When shown a specific item and it is removed, and five items are then presented (one being the same as the original item), Javin
will be able to find the initial item.

B22. Can Javin continue adding items in the correct sequence when given a model of items in a specific
sequence?
4= continues an irregular pattern with at least 3 different stimuli with irrelevant pieces present
3= three items in a regular sequence with extra irrelevant pieces present
2= three items in a regular sequence
1= two items in an alternating sequence

When given a model of items in a specific sequence (regular and irregular), Javin will be able to continue adding items in the correct
sequence (e.g., ABABAB, ABCABC, ABBABB, AABAAB, ABBCABBC).

B23. When given a simple 3-dimensional model, can Javin arrange blocks and other items to make a
duplicate structure (e.g., a house, car)?
2= can replicate 2 objects using at least 6 blocks or other items
1= can replicate 2 objects using at least 3 blocks or other items

Given a set of blocks or other items and a model of a simple 3-dimensional object (e.g., a house, car), Javin will be able to arrange
the blocks or other items to replicate the structure.

B24. If a person put a set of identical items on a table, is Javin able to place a second item on each of those
placed items immediately after each of the first items was placed on the table?
2= can immediately place an item on a corresponding item for a series of at least 6 responses
1= can immediately place an item on a corresponding item for a series of at least 3 responses

Javin will be able to observe a person placing multiple identical objects on a table and then place a different item on each of those
items immediately after each one of the first type of item has been placed.

B25. Can Javin arrange items in a logical order (i.e., by size, quantity, shade of color, sequence of completion,
order --ABC's, 123's)?
4= can arrange at least four sets of items for each of the four specified attributes
3= two sets of items for three attributes
2= two sets of items for two attributes
1= two sets of items for one attribute

When given a model of the start and end of a continuum, Javin will be able to arrange additional task stimuli in the appropriate
order by size, quantity, shade of color, and sequence.

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Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015
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B26. Can Javin arrange pictures depicting a logical sequence of events?

4= can arrange at least five sets of four items in a sequence
3= five sets of items with a three-card sequence
2= three sets of items with a three-card sequence
1= two sets of items with a three-card sequence

Javin will be able to arrange a set of picture cards in the appropriate sequence.

B27. Can Javin draw a line from the start to the end of simple mazes?
2= can draw a line from start to end in a maze which has 3 choice points for selecting the correct path
1= can draw a line in a maze which has only 1 choice point for selecting the correct path

Javin will be able to draw a line from the start to the end of simple mazes.

C) RECEPTIVE LANGUAGE
C13. Can Javin select a specified object from a selection of two common objects?
4= receptively identifies 50 or more objects and can identify several different examples of most of those objects
3= identifies at least one example of 25 objects
2= 10 objects
1= identifies at least 2 objects

Upon request, Javin will be able to select an object named by the instructor from an array of two common objects held or placed in
any position in front of him.

C14. Can Javin select a specified picture of an item from a selection of two pictures of common items?
4= receptively identifies pictures of 50 or more items and can identify several different pictures of most of those items
3= 25 pictures of different items
2= 10 pictures
1= 2 pictures

Upon request, Javin will select a picture named by the instructor from an array of two pictures of common items held or placed in
any position in front of him.

C16. If you place six or more objects on a table in any position and ask Javin to select one of those items, can
he select the named object?
4= receptively identifies 100 or more objects and can identify several different examples (including novel examples) of most of
those objects when presented in an array of six or more objects
3= 50 objects of at least one example of the item when presented in an array of three objects
2= 10 objects (array of 3)
1= 5 objects when presented in an array of three objects

Javin will select a specified object for at least 100 common objects when the object is presented in an array of six or more objects
on a table in any position in front of him.

C17. If you place six or more pictures of common objects on a table in any position and ask Javin to select
one of those items, can he select the named object?
4= receptively identifies 100 or more pictures and can identify several different examples (including novel examples) of most of
those pictures when presented in an array of six or more pictures
3= 50 pictures of at least one example of the item when presented in an array of three or more pictures
2= 10 pictures (array of 3)
1= 5 pictures when presented in an array of three or more pictures

Javin will select a specified picture for at least 100 common objects when the picture is presented in an array of six or more pictures
on a table in any position in front of him.

C18. Does Javin learn new receptive discrimination skills for new common items within five presentations?
2= readily learns to select many new items after being required to select the items less than 5 times
1= selects many new items after being required to select the items less than 10 times.

Javin will be able to acquire selection skills for many new common objects or pictures of items after being required to select the
items less than five times.

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Assessment of Basic Language and Learning Skills-Revised / Monday, April 13, 2015
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C19. Is Javin able to point to or select known items from an array upon request when presented in a one-
after-the-other manner?
2= can sequentially point to or select at least 10 known items in 30 seconds
1= can point to or select 5 separate known items in 15 seconds

Javin will be able to point to or select known items from an array upon request when presented in quick succession.

C20. Can Javin select specified objects and pictures when provided with a variety of instructions to select
those items (e.g. "Show me ___ ," "Where is the ___ ," "Can you find the ___ ," "Touch the ___ ")?
2= selects objects and pictures when given any of 5 instructions to select a specified item (any selection response is acceptable)
1= selects objects and pictures when given any 2 instructions to select a specified item (can use any response)

Javin will be able to select objects and pictures named by the instructor while using a variety of instructions to select those items
(e.g. "Show me ___ ," "Where is the ___ ," "Can you find the ___ ," "Touch the ___ ").

C21. If you ask Javin to point to body parts of other people or touch pictures of body parts, can he do it?
4= 10 or more parts
3= 6 parts
2= 4 parts
1 = 2 parts

Javin will be able to follow directions to point to body parts of other people or touch pictures of body parts.

C22. If you ask Javin to touch a piece of clothing on his body, can he do it?
2= 4 or more items
1= 2 items

Javin will be able to follow directions to touch clothing items on his own body.

C23. If you ask Javin to show you the parts of an item (picture or object), can he point to the named parts?
4= 3 or more parts of ten objects
3= 3 parts of six objects
2= 2 parts of four objects
1 = at least 2 parts of two objects

Javin will be able to follow directions to touch specified parts of items (e.g., door and window of a house, wheel and door of a car)

C24. Can Javin select a specific item when you hold up two items that vary in only one dimension (i.e.,
adjectives)?
4= selects at least 20 adjectives (including at least 3 colors
2 shapes and 2 sizes)
3= at least 10 adjectives (at least 5 of which are not colors)
2= at least 5 adjectives (may be all colors)
1= can identify at least one adjective

Javin will be able to select between two similar items that vary on one dimension (i.e., adjectives).

C25. If you ask Javin to "Give me that one," while looking at a specific item, will Javin be able to select the
correct item?
2= can select one of three separated items located on a table
1= can select one of two separated items located on a table

Javin will be able to select an item by attending to the eye orientation of another person.

C28. Can Javin walk across the room to go to a specified place or person and place or deliver an item?
4= can go to at least 2 people and 2 places and deliver/place a given item
3= 2 people or places without prompts
2= 2 people or places with only a single verbal prompt
1= 1 person or place with only a verbal prompt

Javin will be able to walk across the room to go to a specified place or person and place or deliver an item (e.g., give pen to Jim).

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C29. Can you ask Javin walk across the room to go to a specified place or person and get a requested item?
4= can go to at least 2 people and 2 places and get a specified item
3= 2 people or places without prompts
2= 2 people or places with only a single verbal prompt
1= 1 person or place with only a verbal prompt

Javin will be able to walk across the room to go to a specified place or person and get a requested item.

C30. Can you ask Javin to go to a person and perform an action (e.g., give a hug)?
4= can go to at least three people and perform at least 2 actions
3= 2 people & 2 actions
2= 2 people & 1 action
1= 1 person & 1 action

Javin will be able to walk across the room to go to a specified person and perform a stated action (e.g., give Jim a hug).

C31. Can Javin make selections of objects and pictures when given a variety of instructions which specify the
response required to select those items (e.g., "Touch," "Point to," "Give me," "Pick up," "Get" )?
4= responds correctly to any of 5 different selection responses
3= four different selection responses
2= three different selection responses
1= two different selection responses

Javin will select common objects and pictures with a specific motor response when given a variety of instructions specifying the
response required to select those items (e.g., "Touch," "Point to," "Give me," "Pick up," "Get the").

C32. Will Javin follow an instruction to do a simple action when presented with several objects, one of which
is used to perform the action (e.g., display of a pencil and a pillow and instructed to "Show me writing")?
2= at least 5 without prompts
1= at least 2 with only verbal or pointing prompts

Javin will comply with instructions to do a simple action when presented with several objects, one of which is used to perform the
action.

C33. Can Javin demonstrate actions using a variety of objects (e.g., with a car, a train, a ball, a brush, and a
toy dog present, he can follow directions to show me "brushing dog," "brushing arm," "rolling car," "rolling
ball," etc.)?
4= can perform at least 4 actions on at least 4 objects
3= can perform at least 3 actions on 4 objects
2= can perform at least 2 actions on 4 objects
1= can perform 2 actions on at least 2 objects

Javin will be able to perform a specified action with a specific object, when several different objects are present that could be used
to demonstrate the requested action.

C34. Will Javin follow an instruction to do an action even when it is not the conditions under which the
activity usually occurs (e.g., "Show me laughing")?
2= at least 5 without prompts
1= at least 2 with only verbal or pointing prompts

Javin will comply with instructions to do a pretend activity.

C35. Can Javin select a specified picture of an action from a selection of three pictures representing actions?
4= selects 20 or more action pictures and can identify several different examples (including novel examples) of most of those
actions
3= 10 actions
2= 5 actions
1= 2 action pictures

Upon request, Javin will select a specified action picture from an array of three pictures on a table in any position in front of him.

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C36. When given a display of objects or pictures and shown a different item and asked, "What goes with
this?," can Javin select an item from the display which is used with the item being presented (e.g., select a
bat when shown a picture of a ball)?
4= can select at least 2 related pictures for 20 or more items
3= 2 related pictures for 10 items
2= 1 related picture for 10 items
1= can select at least 1 related picture for 5 items

Given an array of items or pictures and asked, "What goes with this?," Javin will be able to select the item which is used with the
item being shown (e.g., select a bat when shown a picture of a ball).

C37. Can Javin select objects or pictures of items when told the item's function [e.g., Give me the one(s) you
cut with, write with, etc.]?
4= can select at least 25 items when told the item's function and can select 2 or more items with a specified function from a display
of at least 6 items
3= at least 25 items
2= at least 5
1= at least 2 items

Javin will be able to select objects or pictures of items when told the item's function.

C38. Can Javin select objects or pictures of items when told the item's features or parts [e.g., Give me the
one(s) with a tail]?
4= can select at least 2 features or parts for 25 items and can select 2 or more items with a specified feature/part from a display of
at least 6 items
3= at least 2 features or parts for 25 items
2= at least 1 feature or part for 5 items
1= at least 1 feature or part for 2 items

Javin will be able to select objects or pictures of items when told the item's features or parts.

C39. Can Javin select objects or pictures of items when told the class to which the item belongs [e.g., Give me
the animal(s)]?
4= can select at least 5 items from 4 classes and can select 2 or more items of a specified class from a display of at least 6 items
3= at least 5 items from 4 classes
2= at least 5 items from 2 classes
1= at least 5 items from 1 class

Javin will be able to select objects or pictures of items when told the class to which the item belongs.

C40. Can Javin select two specified objects or pictures from a larger selection of objects on a table in front of
him?
2= can select 2 specified objects or pictures when given a display of 10 or more items
1= can select 2 specified objects or pictures when given a display of at least 4 items

Upon request, Javin will select two specified objects or pictures from a larger selection of objects on a table in front of him.

C41. Can Javin select two specified items, in the order requested, from a larger selection of pictures on a
table in front of him?
2= can select 2 specified items in order when given a display of 10 or more pictures
1= can select 2 specified items in order when given a display of at least 4 pictures

Upon request, Javin will select two specified objects or pictures, in the order requested, from a larger selection of pictures on a
table in front of him.

C42. Can Javin select pictures of common community helpers in his environment?
4= selects 4 or more community helpers
3= 3 community helpers
2= 2 community helpers
1= 1 community helper

Javin will be able to select pictures of common community helpers in his environment.

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C43. Can Javin locate pictures of objects within a complex picture which contains a variety of other objects?
2= can find at least 3 of 4 items in a display which contains at least 10 other items
1= can find at least 2 of 4 items in a display which contains at least 5 other items

Javin will be able to locate pictures of objects within a larger, complex picture.

C44. Can Javin locate pictures of objects when only shown parts of the objects presented within a complex
picture?
2= can find at least 3 of 4 items in a display which contains at least 10 other items
1= can find at least 2 of 4 items in a display which contains at least 5 other items

Javin will be able to locate objects when only shown parts of the objects within a larger, complex picture.

C45. When listening to a tape recording of common sounds, or upon hearing a natural environmental sound
and asked "What do you hear?," will Javin select a picture of the item which makes the sound?
4= at least 8 sounds
3= at least 6 sounds
2= at least 4 sounds
1= at least 2 sounds

Javin will select appropriate pictures when the sound which is paired with that item is heard.

C46. If you show Javin an array or items, can he select all the examples of a specified item from that larger
group of items?
4= 6 similar items from a total array of at least fifteen items
3= 3 items from an array of ten items
2= 3 items from an array of at least six items
1 = at least 2 similar items from a total array of at least four items

Javin will be able to follow directions to select all the examples of a specified item (e.g., all the cats).

C47. Can Javin select a specified item which has the two specified characteristics (e.g., "The big red ball,"
"The hot breakfast cereal") from a scene or a larger set of similar items?
4= 20 two-component combinations
3= 10 two-component combinations 2= 5 two-component combinations 1= 2 two-component combinations

Given a scene or a varied set of objects or pictures, Javin will be able to select a specified item which has the two specified
characteristics (e.g., "The big red ball," "The hot breakfast cereal").

C48. Can Javin select multiple items which have a specified characteristic from a larger set of similar items
which vary along a single characteristic (i.e., adjectives)?
4= selects at least 20 adjectives (including at least 3 colors
2 shapes and 2 sizes)
3= at least 10 adjectives (at least 5 of which are not colors)
2= at least 5 adjectives (may be all colors)
1= can identify at least one adjective

Given a set of objects or pictures which vary only on a single characteristic, Javin will be able to select all of the items which have a
single specified characteristic (i.e., adjectives such as "The red ones").

C49. Can Javin select multiple items which have two specified characteristics from a larger set of similar
items which vary along those two characteristics (e.g., adjectives, parts or other features, function, or class
of the item)?
4= 20 two component combinations
3= 10 two component combinations 2= 5 two component combinations 1= 2 two component combinations

Given a varied set of objects or pictures, Javin will be able to select all of the items which have the two specified characteristics (e.g.,
adjectives, parts or other features, function, or class of the item).

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C50. Can Javin select items in a specified sequence (e.g., "Touch the shoe, then touch the sock")?
2= accurately selects 3 items in specified sequence after all the items are named
1= accurately selects 2 items in specified sequence after both items are named

Javin will be able to select three items in a specified sequence.

C51. Can Javin follow directions which require selections involving prepositions?
4= at least 6 prepositions
3= at least 5 prepositions
2= at least 3 prepositions
1= at least 2 prepositions

Javin will be able to follow instructions which include selections involving prepositions.

C52. Can Javin follow directions which require selections involving pronouns?
4= at least 8 pronouns
3= at least 4 pronouns
2= at least 3
1= at least 2 pronouns

Javin will be able to follow instructions which include selections involving pronouns.

C53. Can Javin select pictures of specific locations and activities when presented with an array of pictures in
which one of the pictures represent the location or activity?
2= selects at least 4 pictures depicting locations or activities
1= selects at least 2 pictures depicting locations or activities

Javin will be able to select pictures of scenes or pictures of activities.

C54. Can Javin select pictures of faces depicting a variety of emotions?

4= at least 4 emotions
3= at least 3 emotions
2= at least 2 emotions
1= at least 1 emotion

Javin will be able to select pictures of faces depicting various emotions.

C55. Can Javin select an item which is "Same" and "Different" from an array of two items when shown a third
item which matches one of the two displayed items?
2= can select both "Same" and "Different" items when the two displayed items vary on only one characteristic
1= can select both "Same" and "Different" items when the two displayed items vary on two or more characteristics

When Javin is provided with a display of two items, then shown a third item which matches one of the two displayed items and told
to either to "Find same," or to "Find different," he will select the corresponding item in the display.

C56. Will Javin point to or select items which do not meet a specified criterion (e.g., not food, not an animal,
not green)?
4= at least 3 examples from 10 categories (can be related to functions
features
or classes of items) 3= 3 examples from at least 5 categories
2= 3 examples from at least 3 categories
1= 3 examples from at least 2 categories (can be related to functions
features
or classes of items)

Javin will be able to point to or select items which are non-examples of a specified category of items (e.g., not food, not yellow, not
used to cook, does not have a tail).

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C57. Can Javin select pictures representing a variety of social interactions (e.g., playing, arguing)?
4= selects pictures representing at least 4 social interactions
3= selects at least 3 social interactions
2= selects at least 2 social interactions
1= selects at least 1 social interaction

Javin will be able to select pictures representing a variety of social interactions (e.g., playing, arguing).

D) MOTOR IMITATION
D1. Will Javin imitate a motor action using an item/object when asked to "Do this"?
4= at least 10 actions with at least two different actions for each object
3= 10 actions
2= 5 actions
1= 2 actions

Upon request, Javin will imitate a motor activity with an object.

D2. Will Javin imitate a motor action requiring a discrimination of an object when asked to "Do this"?
4= at least 10 actions & readily imitates novel actions
3= 10 actions
2= 5 actions
1= 2 actions

Upon request, Javin will imitate a motor activity requiring a discrimination of an object.

D3. Will Javin imitate a gross motor action when asked to "Do this" and provided with verbal prompts?
4= at least 10 actions & readily imitates novel actions
3= imitates any 10 actions
2= imitates any 5 actions
1= imitates any 2 actions

Upon request, Javin will imitate a gross motor movement when provided with verbal prompts.

D4. Will Javin imitate a gross motor action involving foot and leg movements when asked to "Do this"?
4= at least 10 actions & readily imitates novel actions
3= 10 actions
2= 5 actions
1= 2 actions

Upon request, Javin will imitate a gross motor activity involving foot and leg movements.

D5. Will Javin imitate a gross motor action involving arm and hand movements when asked to "Do this"?
4= at least 10 actions & readily imitates novel actions
3= 10 actions
2= 5 actions
1= 2 actions

Upon request, Javin will imitate a gross motor activity involving arm and hand movements.

D6. Will Javin imitate both actions that require him to demonstrate holding a static position and those that
require him to imitate a similar action that requires repeated movement when asked to "Do this"?
4= at least 10 pairs of actions & readily imitates novel actions
3= imitates any 10 pairs of actions
2= imitates any 5 pairs of actions
1= imitates any 2 pairs of similar actions where one response in the pair involves movement and the other is a static response.

Upon request, Javin will imitate similar actions that require him to discriminate whether the action requires either a static (held
position) or a kinetic (movement) motor movement.

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D7. Can Javin imitate actions when the instructions are varied?
2= imitates known actions when given any one of 4 different instructions to imitate
1= imitates known actions when given any one of at least of 2 different instructions to imitate

Javin will imitate actions when any of a variety of instructions are used to indicate that he is to imitate an action.

D8. Will Javin imitate gross motor movements that he observes being modeled by others in a mirror when
asked to "Do this"?
4= at least 10 actions & readily imitates novel actions
3= imitates any 10 actions
2= imitates any 5 actions
1= imitates any 2 actions

Upon request, Javin will imitate gross motor movements that he observes being modeled by others in a mirror.

D9. Will Javin imitate a gross motor action involving head movements when asked to "Do this"?
2= imitates 3 actions
1= one action

Upon request, Javin will imitate a gross motor activity involving head movements.

D10. Will Javin imitate a motor action involving his mouth and tongue when asked to "Do this"?
2= imitates 4 actions
1= 2 actions

Upon request, Javin will imitate a motor activity involving mouth and tongue movements.

D11. Will Javin imitate facial/oral motor movements that he observes being modeled by others in a mirror
when asked to "Do this"?
4= at least 6 facial/oral motor movements including those that require repeated movement and those that require a held position
(static)
3= imitates any 6 actions
2= imitates any 4 actions
1= imitates any 2 facial/oral motor actions

Upon request, Javin will imitate facial/oral motor movements that he observes being modeled by others in a mirror.

D12. Will Javin imitate a fine motor action when asked to "Do this"?
4= at least 10 actions & readily imitates novel actions
3= 10 actions
2= 5 actions
1= 2 actions

Upon request, Javin will imitate a fine motor activity.

D13. Will Javin imitate touching objects in a sequence switching to touch the next item when the model
touches that item?
2= can imitate any sequence of touching 4 of 6 items
1= can imitate any sequence of touching 2 of 4 items.

Upon request, Javin will imitate touching objects in a sequence at the same time as a person modeling the sequence.

D14. Will Javin imitate both short and sustained blowing actions when modeled by others when asked to "Do
this"?
2= imitates both a short and a sustained blowing action of at least 2 seconds duration
1= can imitate either a short or an extended blowing action

Upon request, Javin will imitate both short and sustained blowing actions when modeled by others.

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D15. Will Javin imitate a motor action involving the manipulation of an object matching the speed of an
ongoing model when asked to "Do this"?
2= readily imitates actions matching the speed of the ongoing model
1= requires only verbal prompts to match the speed of the ongoing model

Upon request, Javin will imitate a motor activity involving manipulating an object matching the speed of the ongoing model.

D16. Will Javin imitate a motor action involving the manipulation of an object matching the speed of a
recently modeled action when asked to "Do this"?
2= readily imitates actions with objects matching the speed of the action immediately following a demonstration
1= requires only one verbal prompt to match the speed of the action immediately following a demonstration

Upon request, Javin will imitate a motor activity involving manipulating an object matching the speed of a recently modeled action.

D17. Will Javin imitate a gross motor action matching the speed of the model when asked to "Do this"?
2= readily imitates actions matching the speed of the model
1= requires only verbal prompts to match the speed of the model

Upon request, Javin will imitate a gross motor activity matching the speed of the model.

D18. Will Javin imitate touching objects in a sequence after the sequence of items to be touched has been
demonstrated?
2= can imitate touching any sequence of touching 4 of 6 items immediately following a demonstration
1= can imitate touching any sequence of touching 2 of 4 items immediately following a demonstration.

Upon request, Javin will imitate touching objects in a sequence after the sequence of items to be touched has been demonstrated.

D19. When asked to "Do this," will Javin imitate a sequence of motor actions along with a model immediately
switching from one action to another following the lead of the model?
2= can imitate a sequence of 6 different modeled actions within 10 seconds
1= can imitate a sequence of 4 different modeled actions within 10 seconds

Upon request, Javin will imitate a sequence of motor actions along with a model immediately switching from one action to another
following the lead of the model.

D20. Will Javin imitate a sequence of motor actions when asked to "Do this" followed by a model of a
sequence of actions?
4= at least 10 sequences of two actions & readily imitates novel sequences
3= 10 sequences of two actions
2= 5 sequences of two actions
1= 2 sequences of two actions after a sequence has been modeled

Upon request, Javin will imitate a sequence of motor activities.

D21. Will Javin imitate a gross motor action matching the intensity of the model when asked to "Do this"?
2= readily imitates actions matching the intensity of the model
1= requires only verbal prompts to match the intensity of the model

Upon request, Javin will imitate a gross motor activity matching the intensity of the model.

D22. Following a demonstration by a model, will Javin imitate the same number of repetitions of an action
when asked to "Do this"?
2= imitates any number of up to three repetitions of a response without prompts 1= imitates any number of up to three repetitions
of a response when provided with only verbal or gestural prompts

Upon request, Javin will imitate a motor movement for the same number of repetitions as was just modeled.

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D23. When asked to "Do this" then shown a demonstration that combines an action and a vocalization, will
Javin imitate the same combination of motor action and vocalization ?
2= imitates up to three repetitions of at least 4 different motor and vocal response combinations without prompts
1= imitates at least one motor and vocal response combination without prompts

Upon request, Javin will imitate a motor movement along with a corresponding vocalization.

D24. Will Javin imitate a sequence of actions using multiple objects when asked to "Do this"?
2= can replicate at least 6 different sequences of at least three actions involving 4 objects with the original model remaining visible
1= can replicate at least 6 different sequences of at least two actions involving 4 objects with the original model remaining visible

Upon request, Javin will imitate a sequence of actions using multiple objects.

D25. Does Javin imitate the gross motor actions of others, for only the personal satisfaction or for the social
recognition of being able to match the actions?
4= at least 10 actions & readily imitates novel actions
3= 10 actions
2= 5 actions
1= 2 actions

Without being told to imitate each action, Javin will imitate gross motor actions modeled by an individual, for the social recognition
of being able to match the actions.

D26. Does Javin spontaneously imitate the actions of others who are not directly in front of him (i.e., without
having to be prompted or told to imitate the action)?
4= at least 10 actions & readily imitates novel actions (not necessary to be a sequence of 10)
3= 10 actions
2= 5 actions
1= 2 actions

Javin will spontaneously imitate a gross motor activity modeled by an individual who is not standing directly in front of him.

D27. Does Javin imitate actions which he observed earlier in the day either spontaneously while labeling his
behavior, or upon request?
4= label and imitate numerous actions observed 4 hours ago
3= label and imitate after 1 hour
2= label and imitate after 10 minutes
1= upon request
1 action after 5 minutes

Upon request or when labeling his own actions, Javin will be able to demonstrate actions which he observed several hours earlier in
the day.

E) VOCAL IMITATION
E1. Can Javin imitate sounds upon request?
4= readily and accurately imitates almost any sound
3= 15 sounds
2= 5 sounds
1= 2 sounds

Javin will imitate a sound when you say,"Say ___"

E2. Is Javin able to repeat a sequence of sounds immediately after they are presented in a one-after-the-
other manner?
2= can repeat at least 10 separate sounds in 15 seconds
1= can repeat 5 separate sounds in 10 seconds

Javin will be able to repeat a series of individual sounds presented in quick succession.

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E3. Can Javin imitate the initial sounds of words which are modeled to him?
4= readily and accurately imitates at least the first sound of almost any word
3= 15 sounds
2= 5 sounds
1= 2 sounds

When a word is modeled for Javin, he will be able to imitate the initial sounds of that word.

E4. Is Javin able to repeat his known sounds in a variety of combinations in which the sounds are presented?
2= can repeat at least 4 pairs of sound combinations for at least 4 starting sounds
1= can repeat at least 3 pairs of sound combinations for at least 2 starting sounds

Javin will be able to repeat a variety of separate sounds in combination in which he must attend to both sounds.

E5. If a sound is presented in a deliberately slow or fast manner, is Javin able to match the speed that
sounds are said to him?
2= readily imitates sounds matching the speed of the model
1= requires only gestural prompts to match the speed of the model

Javin will be able to repeat sounds matching the speed of the presented sound.

E6. Following a demonstration by a model, will Javin imitate the same number of repetitions of a sound
when asked to "Say (sound)"?
2= imitates any number of up to three repetitions of a sound without prompts 1= imitates any number of up to three repetitions of
a sound when provided with only gestural prompts

Upon request, Javin will imitate a sound for the same number of repetitions as was just modeled.

E7. Is Javin able to repeat a combination of sounds that requires him to hold or elongate the first sound and
smoothly transition to a second sound (not merely say two separate sounds)?
2= can smoothly switch between at least 4 held/ elongated sounds to at least 4 other sounds
1= can smoothly switch between at least 2 held/elongated sounds to at least 2 other sounds

Javin will be able to repeat sound combinations in which the model requires him to hold or elongate the first sound and smoothly
transition to a second sound (not merely say two separate sounds).

E8. Is Javin able to able to repeat simple sound combinations involving a single vowel and a consonant?
2= can repeat at least 3 vowel-consonant and 3 consonant-vowel sound combinations without breaks between the two sounds
1= can repeat at least 3 vowel-consonant or consonant-vowel sound combinations without breaks between the two sounds

Javin will be able to repeat sound combinations in which the model requires him to repeat consonant-vowel and vowel-consonant
combinations (e.g., "eat," "up," "go," "me")

E9. Is Javin able to repeat sound combinations in which the model requires him to repeat consonant-vowel-
consonant-vowel combinations?
2= can repeat at least 6 consonant-vowel- consonant-vowel sound combinations without breaks between the sounds
1= can repeat at least 3 consonant-vowel- consonant-vowel sound combinations without breaks between the sounds

Javin will be able to repeat sound combinations in which the model requires him to repeat consonant-vowel-consonant-vowel
combinations (e.g., "mama," "dada," "peepee," "meme")

E10. Is Javin able to repeat sound combinations (words) in which the model requires him to repeat
consonant- vowel-consonant combinations?
2= can repeat at least 12 consonant-vowel- consonant sound combinations (words) without breaks between the sounds
1= can repeat at least 3 consonant-vowel- consonant sound combinations (words) without breaks between the sounds

Javin will be able to repeat sound combinations (words) in which the model requires him to repeat consonant- vowel-consonant
combinations (e.g., "mom," "dad," "top," "pig")

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E11. Can Javin imitate words which include consonant blends (e.g., STReet, CHip, reaCH, againST, riNG)?
4= readily and accurately imitates almost any word with consonant blends in any position
3= 15 words with consonant blends can be accurately imitated
2= 5 words
1= 2 words

When a word which contains consonant blends are modeled for Javin, he will be able to accurately imitate the words.

E12. Can Javin imitate words upon request (including the final sounds of the word)?
4= readily and accurately imitates almost any word
3= closely approximates 15 words
2= closely approximates 5 words
1= closely approximates 2 words

Javin will imitate a word when you say, "Say ___"

E13. Can Javin imitate phrases upon request?

4= readily and accurately imitates phrases of 6 or more words
3= 4-word phrases
2= 3-word phrases
1= 2-word phrases

Javin will imitate a phrase when you say, "Say ___"

E14. Can Javin imitate a sequence of numbers upon request (e.g., a phone number)?
4= readily and accurately imitates sequence of 7 or more numbers
3= 4 numbers
2= 3 numbers
1= 2 numbers

Javin will imitate a sequence of numbers when you say, "Say ___"

E15. If a word is presented in a deliberately slow or fast manner, will the child match the speed that words
are said to him?
2= can imitate saying words both at a faster and slower than a normal rate of speaking
1= can imitate saying words at a faster or slower than normal rate of speaking

Javin will be able to repeat words matching the speed of the presented word.

E16. If a word is presented in a deliberately loud or quiet (whispered) manner, will Javin match the volume
that words are said to him?
2= readily imitates sounds or words matching the volume of the model
1= requires only gestural prompts to match the volume of the model

Javin will be able to repeat words matching the volume of the presented word.

E17. If a word is presented in a deliberately high or low pitched voice, will Javin match the pitch/tone that
words are said to him?
2= readily imitates sounds or words matching the pitch/tone of the model
1= requires only gestural prompts to match the pitch/tone of the model

Javin will be able to repeat words matching the pitch/tone of the presented word.

E18. Is Javin able to deliver a short message to others?

2= can repeat a three-word phrase after going at least ten feet to deliver the message
1= can repeat a two-word phrase after going at least five feet to deliver the message

Javin will be able to go to a person and repeat a short statement that he was told to say to the person.

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E19. Does Javin spontaneously imitate words?

4= accurately imitates at least 20 words per day
3= 15 words
2= 5 words
1= 2 words per day

Javin will spontaneously imitate words.

E20. Does Javin spontaneously imitate phrases?

4= accurately imitates phrases of 6 or more words at least 3 times per day
3= 4-word phrases 3 times per day
2= 3-word phrases 3 times per day
1 = 2-word phrases at least 3 times per day

Javin will spontaneously imitate phrases.

F) REQUESTS
F5. How many specific items or activities can Javin spontaneously ask for using a specific response (Spoken
word or with an American Sign Language sign) when the items are present?
4= 10 or more specific items or activities when the items or items associated with the activity are present
3= 6 specific items or activities
2= 4 specific items or activities
1= 2 specific items or activities (items present)

Javin will spontaneously ask for at least 10 items that he wants using a specific response (Spoken word or with an American Sign
Language sign) when the items are present.

F6. How many specific items or activities can Javin spontaneously ask for using a specific response (Spoken
word or with an American Sign Language sign) when the items are not present?
4= 10 or more specific items or activities when the items or items associated with the activity are not present
3= 6 specific items or activities
2= 4 specific items or activities
1= 2 specific items or activities (items not present)

Javin will spontaneously ask for at least 10 items that he wants using a specific response (Spoken word or with an American Sign
Language sign) when the items are not present.

F8. Does Javin ask others to perform specified actions?

4= can request 10 or more different actions
3= 6 actions
2= 3 actions
1= requests 1 action

Javin will be able to ask others to perform specified actions.

F9. When an item is needed to complete a task, does Javin ask for the missing item?
4= 10 or more
3= at least 6
2= at least 3
1= can ask for 1 missing item

When only given some of the items necessary to do an activity, Javin will ask for the missing item.

F10. Can Javin indicate he wants or does not want an item or activity by saying or using head movements to
specify "Yes" or "No"?
2= both yes and no
1= only one of the two

Javin will be able to ask for or reject offered items and activities using head movements to specify "Yes" or "No."

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F11. Can Javin ask for items, actions, or information using a sentence?
2= usually uses three or more words to ask for items or activities
1= sometimes uses three or more words to ask for items or activities

Javin will ask questions in a sentence form to obtain items, actions, or information.

F12. Can Javin ask for help (e.g., "Help me")?

2= asks for help in a wide variety of situations
1= asks for help in only 1 or 2 specific situations (e.g.
tie shoes
open containers)

Javin will ask for help when he needs assistance.

F13. Is Javin able to acquire new requests for many new objects, actions, or information after being required
to request those items less than five times?
2= readily learns new requests without direct training
1= readily able to learn new requests for objects
actions
or information when asked to request the items less than five times

Javin will be able to acquire new requests for many new objects, actions, or information after being required to request those items
less than five times.

F14. Does Javin ask others to attend to his actions (e.g., "Mommy, look at me," "Watch this")?
4= 10 or more requests per day
3= 6 request per day
2= 4 request per day
1= 2 requests per day

Javin will be able to ask others to attend to his actions.

F15. Can Javin ask others to remove an item or stop activity?

2= can do spontaneously
1= can do in contrived situations

Javin will be able to ask others to remove an item or stop an activity.

F16. Can Javin ask for items using adjectives (e.g., big horse)?
2= Spontaneously uses at least 4 adjectives with a noun when requesting an item
1= uses at least 2 adjectives with or without a noun in contrived situations

Javin will be able to ask for items using adjectives (e.g., big horse).

F17. Can Javin ask for items using prepositions (e.g., in the box)?
2= Spontaneously uses at least 4 prepositions with a noun when requesting an item
1= uses at least 2 prepositions with or without a noun in contrived situations

Javin will be able to ask for items using prepositions (e.g., in the box).

F18. Does Javin ask for items or actions which he may want to obtain in the future?
2= Spontaneously requests items or activities one or more days in advance
1= Spontaneously requests to have items or participate in activities after completion of an activity or later in the day

Javin will be able to ask for items or actions which he may be able to obtain in the future.

F19. Does Javin ask for information using "What" questions?

2= spontaneously asks "What" questions in non-training situations when unknown items are present
1= can ask "What" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

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F20. Does Javin ask for information using "Where" questions?

2= spontaneously asks "Where" questions in non-training situations when unknown items or situations are present
1= can ask "Where" questions when unknown items or situations are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

F21. Does Javin ask for information using "Who" or "Whose" questions?
2= spontaneously asks "Who" questions in non-training situations when unknown items are present
1= can ask "Who" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

F22. Can Javin ask for actions using adverbs (e.g., push me fast, walk quietly)?
2= Spontaneously uses at least 4 adverbs with a noun when requesting an action
1= uses at least 2 adverbs with or without a action in contrived situations

Javin will be able to ask for actions using adverbs (e.g., push me fast, walk quietly).

F23. Can Javin ask for items using pronouns (e.g., I want your hat)?
2= Spontaneously uses at least 4 pronouns with a noun when requesting an item
1= uses at least 2 pronouns with or without a noun in contrived situations

Javin will be able to ask for items using pronouns (e.g., I want your hat).

F24. Does Javin ask for information using "Which" questions?

2= spontaneously asks "Which" questions in non-training situations when unknown items are present
1= can ask "Which" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

F25. Does Javin ask for information using "When" questions?

2= spontaneously asks "When" questions in non-training situations when unknown items are present
1= can ask "When" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

F26. Does Javin ask for information using "How" questions?

2= spontaneously asks "How" questions in non-training situations when unknown items are present
1= can ask "How" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

F27. Does Javin ask for information using questions?

2= spontaneously uses at least 2 forms of non "Wh"-type of questions
1= spontaneously uses at least 1 form of non-"Wh" question

Javin will ask questions to obtain information.

F28. Does Javin ask for information using "Why" questions?

2= spontaneously asks "Why" questions in non-training situations when unknown items are present
1= can ask "Why" questions when unknown items are presented in training situations (or otherwise prompted)

Javin will ask questions to obtain information.

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F29. Does Javin spontaneously request objects, actions, or information throughout the day?
2= spontaneously requests objects
actions
or information at least 20 times per day
1= spontaneously requests objects
actions
or information at least 10 times per day

Javin will spontaneously request objects, actions, or information throughout the day.

G) LABELING
G1. If you ask "What is that?" with one of his reinforcing items present, will Javin identify the item?
4= 10 or more labels
3= 6 labels
2= 4 labels
1= 2 labels

Javin will label reinforcing items.

G2. If you ask "What is that?" with a common item present, will Javin identify the item?
4= 100 or more labels of items and can identify several different examples (including novel examples) of most of those items
3= 50 labels of at least one example of the item
2= 10 labels
1= 5 labels

Javin will label at least 100 objects which are commonly found in his environment.

G3. If you ask "Who is this?" with the person present, will Javin identify the person?
4= 10 or more people
3= 6 people
2= 4 people
1= 2 people

Javin will label people in his environment.

G4. If you ask "What is that?" when shown a picture of a common item, will Javin identify the item?
4= 100 or more labels of pictures of items and can identify several different examples (including novel examples) of most of those
items
3= 50 labels of at least one example of the item
2= 10 labels
1= 5 labels

Javin will label at least 100 pictures of items which are commonly found in his environment.

G5. Can Javin label body parts on himself or others?

4= can label 20 or more body parts on himself or others
3= 10 body parts
2= 5 body parts
1= at least 2 body parts on himself or others

Javin will label common body parts on himself or others.

G6. Can Javin label pieces of clothing?

2= labels 4 or more clothing items
1= labels 2 clothing items

Javin will be able to label clothing items.

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G7. If you ask "What is he doing?" in the presence of an ongoing action, will Javin identify the action?
4= 20 or more labels of actions and can identify several different examples (including novel examples) of most of those actions
3= 10 actions
2= 5 actions
1= 2 actions

Javin will label common actions.

G8. If you ask "What is he doing?" when shown a picture of an action, will Javin identify the action?
4= 20 or more labels of pictures of actions and can identify several different examples (including novel examples) of most of those
actions
3= 10 actions
2= 5 actions
1= 2 actions

Javin will label pictures of common actions.

G9. Is Javin able to label known items when presented items in a one-after-the-other manner?
2= can sequentially label at least 10 known items in 15 seconds
1= can label 5 separate known items in 10 seconds

Javin will be able to label known items in quick succession.

G10. Is Javin able to acquire labels for many new common items or pictures of items after only hearing the
name of those items used by others (no direct training)?
2= readily learns the names of many new items only from hearing the name of those items used by others (no direct training)
1= readily able to learn labels for common items when asked to name the items less than five times

Javin will be able to acquire labels for many new common items or pictures of items after only hearing the name of those items
used by others (no direct training).

G11. Does Javin use a variety of carrier phrases when labeling items; and if so, does he frequently use those
carrier phrases without prompting?
2= when spontaneously labeling items
Javin will include a carrier phrase at least half of all spontaneous labels and uses at least 2 different carrier phrases
1= when prompted
Javin can label items using at least 2 different phrases

Javin will be able to use a variety of carrier phrases when labeling items, and will frequently use those carrier phrases without
prompting.

G12. Can Javin label the parts or features of objects?

4= 3 parts or features of 10 or more objects
3= 3 parts or features of 4 objects
2= 2 parts or features of 4 objects
1= 2 parts or features of 2 objects

Javin will be able to label the parts or features of objects.

G13. Can Javin identify properties of objects (color, size, shape, texture, length, etc.)?
4= labels using at least 20 adjectives (including at least 3 colors
2 shapes and 2 sizes)
3= at least 10 adjectives (5 of which are not colors)
2= at least 5 adjectives (may be all colors)
1= can identify at least one adjective

Javin will be able to use adjectives that describe objects.

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G14. When given a display of objects or pictures and shown a different item and asked, "What goes with
this?," can Javin name an item from the display which is used with the item being presented (e.g., says "bat"
when shown a ball and pictures of a bat, shoe and a pillow)?
4= can label at least 2 related pictures for 20 or more items
3= 2 related pictures for 10 items
2= 1 related picture for 10 items
1= can label at least 1 related picture for 5 items

When presented with an array of items or pictures and then shown another item or picture and asked, "What goes with this?," Javin
will be able to label one of the items which is associated with the item being shown (e.g., says "chair" when shown picture of a table
and a set of pictures including a chair, shoe and a set of keys).

G15. In the presence of items or pictures of items, can Javin label items when only told the function of the
item?
4= label a total of at least 25 items including at least 4 examples of at least 6 functions
3= at least 10 items
2= at least 5 items
1= 2 items

Javin will be able to label items when only told the function of the item.

G16. In the presence of items or pictures of items, can Javin label items when only told the feature of the
item?
4= label a total of at least 25 items including at least 2 examples of at least 6 features
3= at least 10 items
2= at least 5 items
1= 2 items

Javin will be able to label items when only told the feature of the item.

G17. In the presence of several items or pictures of items, can Javin label items when only told the class of
the item?
4= at least 5 items from 4 classes
3= at least 5 items from 3 classes
2= at least 5 items from 2 classes
1= at least 5 items from 1 class

Javin will be able to label items when only told the class of the item.

G18. Can Javin identify two or more objects presented together?

4= at least 20 pairs of items
3= at least 10 pairs of items
2= at least 5 pairs of items
1= at least 2 pairs of items.

Javin will be able to label a set of items given to him.

G19. Can Javin identify two or more objects presented on a picture card?
4= at least 20 pairs of items
3= at least 10 pairs of items
2= at least 5 pairs of items
1= at least 2 pairs of items.

Javin will be able to label more than one item presented on a picture card.

G20. Does Javin use a variety of carrier phrases when labeling multiple items; and if so, does he frequently
use those carrier phrases without prompting?
2= when spontaneously labeling items
Javin will include a carrier phrase for at least half of all spontaneous labels and uses at least 2 different carrier phrases
1= when prompted
Javin can label items using at least 2 different phrases

Javin will be able to use a variety of carrier phrases when labeling multiple items, and will frequently use those carrier phrases
without prompting.

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G21. Can Javin identify an object and the action performed with the object?
4= uses at least 10 verbs with a variety of nouns
3= uses at least 5 verbs with a variety of nouns
2= at least 5 noun-verb pairs
1= at least 2 noun-verb pairs.

Javin will be able to label a noun and a verb in combination.

G22. Can Javin identify an object and one property of the object?
4= uses at least 10 adjectives with a variety of nouns
3= at least 5 adjectives with a variety of nouns
2= at least 5 noun-adjective pairs
1= at least 2 noun-adjective pairs

Javin will be able to label an adjective and a noun in combination.

G23. Can Javin say or move his head "Yes" or "No" to identify the name of an item being shown to him or to
indicate whether the item meets a pre-specified criterion?
2= yes & no regarding features of items present
1= yes & no with regard to the label of items present

Javin will be able to answer "Yes" or "No" or move his head to indicate "Yes" or "No" to identify the name of an item or to identify if
an item or activity meets a pre-specified criterion.

G24. When shown an item or picture of an item, can Javin identify the function of the item?
4= label a total of at least 25 functions including at least 4 examples of at least 6 functions
3= at least 10
2= at least 5
1= 2 items

Javin will be able to label the function of items when asked "What do you do with this?"

G25. Can Javin identify the class to which an item belongs?

4= 5 items from 10 categories
3= 3 items from 5 categories
2= 2 items from 5 categories
1= 2 items from 2 categories

Javin will be able to label the class of an individual item.

G26. When shown an item, can Javin respond to specific questions that are asked in any order about the item
including the name, function, color or ownership of the item?
2= can label at least 3 aspects of an item when asked a specific question about the item 1= can label at least 2 aspects (name
function
color
ownership) of an item when asked a specific question about the item

Javin will be able to discriminate whether he is being asked to label the name, function, color, or ownership of an item.

G27. Can Javin look at a picture or set of actual items and label the class of the set of items ( e.g., food,
clothing, animals)?
4= 5 items from 10 categories
3= 3 items from 5 categories
2= 2 items from 5 categories
1= 2 items from 2 categories

Javin will be able to look at a picture or set of actual items and be able to label the class of the set of items.

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G28. Is Javin able to label parts of items of a given picture which are either missing or obviously incorrect?
2= identifies at least 5 examples in which parts of items of a picture which are missing and 5 examples in which parts are obviously
incorrect
1= can identify at least 5 parts of items of a picture which are either missing or obviously incorrect

Javin will be able to label parts of items of a given picture which are either missing or obviously incorrect (e.g., a car without
wheels).

G29. Can Javin identify that a particular item does not belong with a certain set of items?
4= at least 3 examples from 10 categories (can be related to functions
features
or classes of items) 3= 3 examples from at least 5 categories
2= 3 examples from at least 3 categories
1= 3 examples from at least 2 categories (can be related to functions
features
or classes of items)

When presented with a set of items in which all except one of the items belongs to a specified category of items (can be based on
functions, features or class), Javin will be able to name the item which does not belong with that particular set of items.

G30. When shown a picture of an obvious problem situation and asked "What's wrong?" can Javin identify
the problem?
2= can identify at least 3 different obvious problem situations
1= can identify at least 1 obvious problem situation

Javin will be able to identify an obvious problem or emergency.

G31. If you ask "Who is this?" with the picture present, will Javin identify common community helpers in his
environment?
4= 4 or more labels
3= 3 labels
2= 2 labels
1= 1 label

Javin will be able to label pictures of common community helpers in his environment.

G32. If you point to significant objects in the distance, can Javin label the items?
2= can label most significant objects that are more than 100 feet away
1= can label many significant objects that are at least 10 feet away

Javin will be able to label significant objects located at a distance when others point to the item.

G33. When listening to a tape recording of common sounds, or upon hearing a natural environmental sound
and asked "What do you hear?", will Javin identify the common sound?
4= at least 8 sounds
3= at least 6 sounds
2= at least 4 sounds
1= at least 2 sounds

Javin will label common sounds in his environment.

G34. If you ask "What is that?" with the item present, will Javin identify the item accompanied by a verb or
an adjective and include a carrier phrase such as "That is a..." ?
2= when spontaneously labeling items
Javin will include a carrier phrase at least half of all spontaneous labels and uses at least 2 different carrier phrases
1= when prompted
Javin can label items using at least 2 different phrases

Javin will use a carrier phrase when labeling combinations of nouns with verbs or adjectives and will frequently use those carrier
phrases without prompting.

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G35. Does Javin expressively use prepositions?

4= at least 10 prepositions
3= at least 6
2= at least 4
1= 2 prepositions

Javin will be able to label the position of an item in relation to other items.

G36. If you ask Javin, for example, "Where is the cup?" will he respond using a carrier phrase (e.g., "It's on
the table")?
2= Javin will include a carrier phrase at least half of all spontaneous labels using prepositions and uses at least 2 different carrier
phrases
1= when prompted
Javin can use at least 2 different phrases to label the position of items

Javin will be able to use a carrier phrase when using prepositions and will frequently use those carrier phrases without prompting.

G37. Does Javin use pronouns (he, she, mine, yours, etc.)?
4= at least 8 pronouns
3= at least 5 pronouns
2= at least 3 pronouns
1= at least 1 pronoun.

Javin will be able to label pronouns.

G38. If you ask Javin, for example, "Whose shoe is that?" will he respond using a carrier phrase (e.g., "It is
mine," "That is my shoe")?
2= Javin will include a carrier phrase at least half of all spontaneous labels using pronouns and uses at least 2 different carrier
phrases
1= when prompted
Javin can use at least 2 different phrases to label items using pronouns

Javin will be able to use a carrier phrase when using pronouns and will frequently use those carrier phrases without prompting.

G39. Can Javin label and describe the ongoing events or activities when shown a picture of a scene or an
activity and asked to "Tell me about this picture"?
2= labels at least 4 aspects of a picture including at least one depicted action or the label for the total scene
1= can label at least one depicted action or the label for the total scene

When shown a picture of a scene or an activity and asked to "tell me about this picture"; Javin will be able to label and describe the
event, items, and activities presented in the scene.

G40. If Javin is given information regarding a part of a scene, can he label specified parts of the picture?
2= can label items given their classification and another descriptor (action performing
location
size
color
etc.)
1= can label items given either their classification or another descriptor (action performing
location
size
color
etc.)

When provided with information regarding a certain part of a scene, Javin will be able to label specified parts of pictures.

G41. Does Javin use adverbs?

4= at least 10 adverbs
3= at least 6
2= at least 4
1= 2 adverbs

Javin will label a variety of adverbs.

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G42. Can Javin label ongoing facial and behavioral examples of emotions and pictures of faces depicting
various emotions?
4= at least 4 emotions (actual examples and pictures)
3= at least 3 emotions (actual examples or pictures)
2= at least 2 emotions
1= at least 1 emotion (actual example or picture)

Javin will be able to label ongoing facial and behavioral examples of emotions and pictures of faces depicting various emotions.

G43. Can Javin identify events that can only be perceived by him (e.g., wet pants, stomach ache)?
4= can label his own bodily conditions
emotional conditions
visual/auditory/touch/taste stimuli not perceived by others
3= 3 of the above
2= 2 of the above
1= any one of the above

Javin will be able to label internal events and emotions which are not directly observable by others.

G44. If you ask him to tell you what he sees, will he label at least three aspects of the stimulus array (e.g., "a
big red truck going fast")?
4= at least 6 words with 4 different parts of speech
3= at least 5 words with 3 different parts
2= at least 4 words with 3 different parts
1= at least 3 words with 3 different parts (noun
verb
adjective
pronoun
adverb
article)

Javin will emit labels containing at least three separate components.

G45. Does Javin use a variety of carrier phrases when using labels containing at least three separate
components; and if so, does he frequently use those carrier phrases without prompting?
2= when spontaneously labeling items
Javin will include a carrier phrase at least half of all spontaneous labels and uses at least 2 different carrier phrases
1= when prompted
Javin can label items using at least 2 different phrases

Javin will be able to use a variety of carrier phrases when using labels containing at least three separate components and will
frequently use those carrier phrases without prompting.

G46. Can Javin identify the nature of ongoing social interactions?

4= 10 labels
3= 6 labels
2= 4 labels
1= 2 labels

Javin will be able to label the nature of ongoing social interactions (e.g., playing, arguing).

G47. Does Javin label items or actions during the day without being asked to label those items and actions?
2= spontaneously labels items or actions at least 20 times per day
1= spontaneously labels items or actions at least 10 times per day

Javin will spontaneously label items and events throughout the day.

H) INTRAVERBALS

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H1. Can Javin fill in some words or phrases of songs while others are singing?
4= at least 3 phrases from 6 songs
3= 3 words from 3 songs
2= 2 words from 2 songs
1= a word from 2 songs

While others are singing a song, Javin will be able to fill in some words and phrases of songs.

H2. If you say a partial phrase regarding fun items and activities, will Javin supply the missing word(s) (e.g.,
Winnie the ____)?
4= 10 or more fill-in responses
3= 5 fill-in responses
2= 2 fill-in responses,1= 1 fill-in response

Javin will be able to complete an open-ended phrase by supplying the missing word(s) regarding fun items and activities.

H3. Can Javin show you ASL signs when given only spoken words?
4= 25 signs
3= 15 signs
2= 5 signs
1= 2 signs (Note: score = Not Applicable (NA) if Javin can say more than 50 words and/or does not use ASL signs)

Javin will be able to provide a sign (American Sign Language (ASL) when given an English word.

H4. Can Javin provide the corresponding name of the animal given a sound, or vice versa?
4= makes 8 animal sounds given names of animal and names 8 animals when given the sound made by the animal
3= 6 sounds or names
2= 4 sounds or names
1= 2 sounds or names

Javin will be able to provide the name of the animal when given the animal sound or vice versa.

H5. Can Javin provide information about himself?

4= at least 4 pieces of information about self (e.g.
name
age
phone
siblings
parents' names
etc.)
3= 3 pieces of information
2= 2 pieces of information,1= 1 piece of information about self

Javin will be able to provide answers to questions regarding personal information.

H6. Can Javin fill in the remaining word of a phrase in the context of an ongoing activity (e.g., It's time to
wash your ____)?
4= 10 or more fill-in responses
3= 5 fill-in responses
2= 2 fill-in responses,1= 1 fill-in response

Javin will be able to fill in the remaining word of a phrase describing an ongoing activity.

H7. Can Javin name objects which are commonly associated (related) with an item that you mention?
4= can say at least 2 related items for 20 or more named items
3= 2 related items for each of 10 named items
2= 1 related item for 10 items
1= can say at least 1 related item for each of 5 named items

When asked "What goes with (____)?," Javin will be able to say some items which is associated (related) with the stated item (e.g.,
says "bed" when hears "What goes with a pillow?).

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H8. Can Javin fill in the remaining word of a phrase related to a function of an item (e.g., You cut paper with
_scissors_)?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

Javin will be able to fill in the remaining word naming the item in a phrase related to the function of an item.

H9. Can Javin fill in the remaining word of a phrase related to a function of an item (e.g., You use scissors to
_cut_)?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

Javin will be able to fill in the remaining word in a phrase naming the function of an item.

H10. Does Javin answer "What" questions regarding items found in home?
4= answers 30 or more questions including at least 3 responses for at least 5 locations (e.g.
bedroom
refrigerator
kitchen
closet
living room)
3= 15 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "What" questions regarding items found in home.

H11. Does Javin answer "What" questions regarding the functions of items?
4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "What" questions regarding the function of items.

H12. Does Javin answer "Where" questions regarding items found in home or classroom?
4= answers 30 or more questions
3= 15 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Where" questions regarding items found in home or classroom.

H13. Does Javin answer "Where" questions regarding activities done at home or school?
4= answers 30 or more questions
3= 15 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Where" questions regarding activities done at home or school.

H14. Can Javin fill in the remaining word of a phrase to name an item/example of a specified class of items?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

Javin will be able to fill in the remaining word of a phrase to name an item/example of a specified class of items.

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H15. Can Javin provide members of a specified category?

4= 20 categories with 4 responses
3= 10 categories with 3 responses
2= 5 categories with 2 responses
1= 2 categories with 2 responses.

Javin will be able to verbally provide members of specific categories.

H16. When told the name of the item, can Javin fill in the remaining word of a phrase to name a feature of
the item (e.g., a dog has a _tail_ )?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

When told the name of the item, Javin will be able to fill in the remaining word in a phrase naming a feature of the item.

H17. When told a feature of an item, can Javin fill in the remaining word of a phrase to name the item (e.g.,
something that has wheels is a _car_ )?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

When told a feature of an item, Javin will be able to fill in the remaining word in a phrase to name the item.

H18. Can Javin fill in the remaining word of a phrase to specify the class of a given item/example (e.g., a dog
is an _animal_)?
4= 20 or more fill-ins with two responses
3= 10 fill-ins with two responses
2= 5 fill-in responses
1= 2 fill-in responses

Javin will be able to fill in the remaining word of a phrase to specify the class of a given item/example.

H19. Can Javin name items or activities which had previously been observed?
4= states 2 or more items one hour after the observation
3= 1 item after 10 minutes
2= 1 item after 5 minutes
1= 1 item immediately after the observation

Javin will be able to name items which had previously been observed.

H20. Can Javin name the activity that he has recently observed?
4= states the activity one hour after seeing the activity
3= states activity after 10 minutes
2= states activity after 5 minutes
1= states activity immediately after the observing the activity

Javin will be able to name an activity that he has recently observed.

H21. Can Javin name people who had previously been observed?
4= states 2 or more people one hour after the observation
3= 1 person after 10 minutes
2= 1 person after 5 minutes
1= 1 person immediately after the observation

Javin will be able to name people who had previously been observed.

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H22. When shown a picture and told something about the picture "They're having a picnic," does Javin make
comments regarding items or activities related to what is observed in the picture?
4= expands/comments on 20 pictures
3= expands/ comments on 10 pictures
2= expands/comments on 5 pictures
1= expands/ comments on 1 picture

Javin will be able to make a variety of related comments (not including naming of items) regarding pictures of items or activities.

H23. Can Javin answer questions regarding what he might see in various locations in his community?
4= 20 or more questions answered
3= 10 questions answered
2= 5 questions answered,1= 2 questions answered

Javin will be able to give single-response answers regarding questions concerning what he might see in various locations in his
community.

H24. Can Javin answer questions regarding what he could do in various locations in his community?
4= 20 or more questions answered
3= 10 questions answered
2= 5 questions answered,1= 2 questions answered

Javin will be able to give single-response answers regarding questions concerning what he could do in various locations in his
community.

H25. Does Javin answer "Where" questions regarding activities and items found in the community?
4= answers 30 or more questions
3= 15 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Where" questions regarding activities and items found in the community.

H26. Can Javin answer questions which require multiple responses related to services in his community (e.g.,
What can you get at a grocery store)?
4= 20 categories with 3 responses
3= 10 categories with 3 responses
2= 5 categories with 2 responses,1= 2 categories with 2 responses

Javin will be able to provide several answers to questions concerning his immediate community.

H27. Can Javin identify the class when told two or more items from the class?
4= 20 classes when told 2 or more members
3= 10 classes
2= 5 classes,1= class when told 2 or more members.

Javin will be able to identify the class when told two or more items from the class.

H28. Does Javin answer "Who/Whose" questions?

4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Who/Whose" questions.

H29. Does Javin answer "When" questions?

4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "When" questions.

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H30. Can Javin answer "What'" "Where," "Who," and "When" questions when they are asked in any order?
2= can answer at least four types of questions in any order 1= can answer at least two types of questions in any order

When discussing an item or activity, Javin will be able to discriminate whether he is being asked a "What'" "Where," "Who," or
"When" question.

H31. Does Javin answer "Which" questions?

4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Which" questions.

H32. Does Javin answer "How" questions?

4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "How" questions.

H33. Does Javin answer "Why" questions?

4= answers 50 or more questions
3= 25 questions
2= 10 questions,1= answers at least 5 questions

Javin will be able to answer "Why" questions.

H34. Can Javin state the steps in sequence of a daily activity?

4= 5 or more steps in at least 2 sequences
3= 4 steps in a sequence
2= 3 steps in a sequence
1= 2 steps in a sequence

Javin will be able to state the steps in sequence of a daily activity.

H35. Can Javin state the activity being described when told a sequence of actions?
4= 20 or more questions answered
3= 10 questions answered
2= 5 questions answered,1= 2 questions answered

Javin will be able to state the activity being described when told a sequence of actions.

H36. Can Javin give the name of an item after being told multiple aspects of the item (e.g., its functions,
features, class)?
4= 20 or more questions answered
3= 10 questions answered
2= 5 questions answered,1= 2 questions answered

Javin will be able to give the name of an item after being provided with multiple aspects of the item (e.g., its functions, features,
class).

H37. Can Javin say "yes" or "no" or move his head to answer questions about non-present items or events
(e.g., can dogs fly?)?
4= can answer at least 50 questions
3= at least 25 questions
2= at least 10 questions
1= at least 5 questions about items not present

Javin will be able to move his head or say "Yes" or "No" to answer questions about an item or activity which is not present.

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H38. Can Javin answer questions which require him to identify several items which meet at least two
specified criteria (e.g., some farm animals)?
4= 4 responses provided to 5 different questions
3= 3 responses provided to 4 different questions
2= 2 responses provided for 3 questions
1= 2 responses provided for 1 question

Javin will be able to provide multiple answers to questions which contains two critical stimuli.

H39. Can Javin answer questions which require him to identify several items which meet at least three
specified criteria (e.g., big animals at the zoo)?
4= 4 responses provided to 5 different questions
3= 3 responses provided to 4 different questions
2= 2 responses provided for 3 questions
1= 2 responses provided for 1 question

Javin will be able to provide multiple answers to questions which contain three critical stimuli.

H40. Can Javin describe items by identifying what you do with the item, some of its features and
classification?
2= can describe at least 20 items stating at least 3 relevant details about the items (not including the label/name of the items) 1=
can describe at least 10 items stating at least 2 relevant details about the items (not including the label/name of the items)

Javin will be able to describe items by identifying what you do with the item, some of its features and/or its classification.

H41. Can Javin state the steps which occur before and after a given step in sequence of a daily activity?
4= can state steps both before and after for 10 different activities
3= can state steps both before and after for 5 activities
2= can state 1 step either before or after for 2 activities
1= can state 1 step either before or a single activity

Javin will be able to state the steps which occur before and after a given step in sequence of a daily activity.

H42. Can Javin answer questions which require a single response concerning his past and upcoming events?
4= 4 answers regarding past and future events over a month away
3= 2 answers regarding past or future events over a month away
2= 2 answers regarding past or future events within a week
1= at least 2 answers regarding past or future events of that day

Javin will be able to answer questions which require a single response concerning his past and upcoming events.

H43. Can Javin engage in conversations?

2= five exchanges on at least 10 different topics including Javin asking at least one novel question or making at least one novel
comment
1= 3 exchanges on at least 5 different topics

Javin will be able to maintain a conversation on a single topic for at least five verbal exchanges.

H44. Can Javin answer questions asked in a slightly different way than was originally taught?
4= 20 or more novel questions answered
3= 10 novel questions answered
2= 5 novel questions answered,1= 2 novel questions answered

Javin will be able to answer questions asked in a different way than was originally taught.

H45. Can Javin provide single answers to questions related to events in his community?
4= 20 or more questions answered
3= 10 questions answered
2= 5 questions answered,1= 2 questions answered

Javin will be able to answer questions concerning current events.

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H46. Can Javin provide multiple answers to questions related to events in his community (e.g., What can you
do at the park)?
4= 20 categories with 3 responses
3= 10 categories with 3 responses
2= 5 categories with 2 responses,1= 2 categories with 1 or 2 responses

Javin will be able to provide several answers to questions concerning current events.

H47. Can Javin provide multiple answers to questions regarding a variety of topics in a group (e.g., morning
circle) discussion (e.g., What happened on the way into the classroom that morning)?
2= provides at least 2 comments for at least 3 topics in a 20-minute discussion
1= provides at least 1 comment for at least 2 topics in a 10-minute discussion

Javin will be able to provide several answers to questions regarding a variety of topics in a group discussion.

H48. Can Javin tell a story or describe an event concerning a single topic (e.g., his last trip to the park)?
2= at least five descriptions of events or stories that contain at least 5 components
1= at least one description an event or story that contains at least 3 components

Javin will be able to tell a story or describe an event concerning a single topic relating at least five separate components.

H49. Does Javin spontaneously add or make appropriate related comments during an ongoing conversation
or discussion?
2= spontaneously adds or makes related comments during an ongoing conversation or discussion at least 10 times per day
1= spontaneously adds or makes related comments during an ongoing conversation or discussion at least 10 times per week
(unprompted)

Javin will spontaneously add or make appropriate related comments during an ongoing conversation or discussion.

I) SPONTANEOUS VOCALIZATIONS
I1. Does Javin say words or make some sounds heard in speech?
4= Javin frequently says words or makes speech sounds totaling at least 10 minutes per hour
3= total 5 minutes per hour
2= total 2 minutes per hour
1= makes speech sounds totaling at least 10 minutes per day

Javin will make a variety of spontaneous vocalizations which include speech sounds.

I2. Does Javin spontaneously say words or approximations to words?

4= spontaneously says an average of at least 30 words per hour (including at least 5 different words)
3= average of at least 10 words per hour
2= an average of at least 1 word per hour
1= spontaneously says an average of at least 5 words per day

Javin will spontaneously say a variety of words or approximations to words.

I3. Does Javin spontaneously say phrases?

4= spontaneously says an average of at least 30 phrases per day (including at least 5 different words)
3= average of 10 phrases per day
2= an average of at least 5 phrases per day
1= spontaneously says an average of at least 1 phrase per day

Javin will spontaneously say a variety of phrases.

I4. Does Javin sing songs along with others singing a song?
4= sings at least 2 phrases from each of 5 songs
3= sings 1 phrase from each of 5 songs
2= sings 1 phrase from 2 songs
1= sings 1 word from 1 song

Javin will spontaneously sing songs while others are singing, while watching videos or listening to other sources.

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I5. Does Javin sing songs without hearing songs?

4= sings at least 2 phrases from each of 5 songs
3= sings 1 phrase from each of 5 songs
2= sings 1 phrase from 2 songs
1= sings 1 word from 1 song

Javin will spontaneously sing songs without models.

I6. Does Javin spontaneously repeat words said by others?

2= spontaneously repeats words said by others at least 5 times per day
1= spontaneously repeats words said by others at least 5 times per week

Javin will spontaneously repeat words said by others.

I7. Does Javin spontaneously request items, actions or activities?

2= spontaneously requests at least 10 items or actions per day
1= spontaneously requests at least 10 items or actions per week

Javin will spontaneously request items, actions or activities.

I8. Does Javin spontaneously label items, actions, or events?

2= spontaneously labels items
actions
or events at least 10 times per day
1= spontaneously labels items
actions
or events at least 10 times per week

Javin will spontaneously label items, actions, or events.

I9. Does Javin spontaneously add or make appropriate related comments during an ongoing conversation or
discussion?
2= spontaneously adds or makes related comments during an ongoing conversation or discussion at least 10 times per day
1= spontaneously adds or makes related comments during an ongoing conversation or discussion at least 10 times per week

Javin will spontaneously add or make appropriate related comments during an ongoing conversation or discussion.

J) SYNTAX AND GRAMMAR

J1. What is the average number of words in a phrase or sentence that Javin says when talking?
4 = 5 or more word phrases or sentences
3 = 4 word phrases or sentences
2 = 3 word phrases or sentences
1 = 2 word phrases or sentences

Javin will be able to speak in phrases or sentences of up to at least five words.

J2. Does Javin use correct word order when speaking in phrases or sentences (e.g., adverb + noun, adjective +
noun, noun + verb)?
4 = 4 or more word sentences usually in correct order
3 = sometimes 4 word sentences in correct order
2 = sometimes 3 word sentences in correct order
1 = sometimes 2 word phrases in correct order

Javin will be able to combine words in phrases or sentences using correct word order (e.g., adverb + noun, adjective + noun, noun +
verb).

J3. Does Javin include articles (e.g., a, an, the) when speaking in phrases or sentences?
2= uses articles most of the time when appropriate
1= occasionally uses articles when appropriate

Javin will be able to include articles (e.g., a, an, the) when speaking in phrases or sentences.

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J4. Does Javin indicate present tense by adding "ing" to the end of verbs (e.g., running, jumping)?
2= adds "ing" to the end of verbs most of the time when appropriate
1= occasionally adds "ing" to the end of verbs when appropriate

Javin will be able to indicate regular present tense by adding "ing" to the end of verbs (e.g., running, jumping).

J5. Does Javin add 's' or 'es' to the end of words to indicate plurals (e.g., shoes, glasses)?
2= adds "s" to the end of words most of the time when appropriate
1= occasionally adds "s" to the end of words when appropriate

Javin will add an "s" (or "es") sound at the end of words to indicate plurals (e.g., shoes, glasses).

J6. Is Javin able to change the form of verbs to indicate past tense (e.g., swim-swam, run-ran, sing-sang, fall-
fell, sleep-slept, break-broke, keep-kept)?
2= uses correct irregular past tense most of the time
1= occasionally uses correct irregular past tense

Javin will be able to indicate past tense by changing the form of verbs (e.g., swim-swam, run-ran, sing-sang, fall-fell, sleep-slept,
break-broke, keep-kept).

J7. Does Javin use contractions (e.g., can't, won't, didn't) when speaking in phrases or sentences?
2= uses contractions most of the time when appropriate
1= occasionally uses contractions when appropriate

Javin will be able to use contractions (e.g., can't, won't, didn't) when speaking in phrases or sentences.

J8. Does Javin indicate present tense by combining "am" and "is" with verbs (e.g., am writing, is jumping)
when speaking in phrases or sentences?
2= uses "am" or "is" with verbs to indicate present tense most of the time when appropriate
1= occasionally uses "am" or "is" with verbs to indicate present tense when appropriate

Javin will be able to indicate present tense by combining "am" and "is" with verbs (e.g., am writing, is jumping) when speaking in
phrases or sentences.

J9. Does Javin add "d," or "ed" to the end of words to indicate past tense (e.g., hiked, jumped)?
2= adds "d," or "ed" to verbs to indicate regular past tense most of the time when appropriate
1= occasionally adds "d," or "ed" to verbs to indicate regular past tense when appropriate

Javin will be able to indicate regular past tense by adding "d," or "ed" (e.g., hiked, jumped).

J10. Does Javin add "s" to nouns and pronouns to indicate possession (e.g., daddy's hat, the cat's tail)?
2= adds "s" to nouns or pronouns to indicate possession most of the time when appropriate
1= occasionally adds "s" to nouns or pronouns to indicate possession when appropriate

Javin will be able to indicate possession by adding "s" to nouns and pronouns (e.g., yours, theirs, daddy's hat).

J11. Does Javin indicate negation (e.g., didn't, won't, doesn't, isn't, not, no more, all gone) when speaking in
phrases or sentences?
2= indicates negation most of the time when appropriate
1= occasionally indicates negation when appropriate

Javin will be able to indicate negation (e.g., didn't, won't, doesn't, isn't, not, no more, all gone) when speaking in phrases or
sentences.

J12. Does Javin indicate location (e.g., here, there) when speaking in phrases or sentences?
2= indicates location most of the time when appropriate
1= occasionally indicates location when appropriate

Javin will be able to indicate location (e.g., here, there) when speaking in phrases or sentences.

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J13. Does Javin indicate future tense (e.g., I will go home) when speaking in phrases or sentences?
2= indicates future tense most of the time when appropriate
1= occasionally indicates future tense when appropriate

Javin will be able to indicate future tense (e.g., I will go home) when speaking in phrases or sentences.

J14. Does Javin use conjunctions to combine words and phrases?

2= uses conjunctions most of the time when appropriate
1= occasionally uses conjunctions when appropriate

Javin will use conjunctions to combine words and phrases (e.g., and, but, if, given, nor, or, because, then, only).

J15. Does Javin correctly use irregular plurals (e.g., mouse-mice, foot-feet, goose-geese)?
2= uses correct irregular plurals most of the time
1= occasionally uses correct irregular plurals

Javin will be able to use irregular plurals (e.g., mouse-mice, foot-feet, goose-geese).

J16. Does Javin add suffixes to words to indicate comparisons (e.g., ...er as in bigger, ...est as in biggest)?
2= adds "er" or "est" to words to indicate comparison most of the time when appropriate
1= occasionally adds "er" or "est" to words to indicate comparison when appropriate

Javin will be able to add suffixes to words to indicate comparisons (e.g., ...er as in bigger, ...est as in biggest).

J17. Does Javin indicate specific items (e.g., this, that, these, those) when speaking in phrases or sentences?
2= uses words such as "this," "that," "these," or "those" to specify specific items most of the time
1= occasionally uses words to specify specific items

Javin will be able to indicate specific items (e.g., this, that, these, those) when speaking in phrases or sentences.

J18. Does Javin use words or phrases to describe his certainty of a statement?
2= uses words to indicate the certainty of a statement most of the time when appropriate
1= occasionally uses words to indicate the certainty of a statement

Javin will use words or phrases to describe his certainty of his responses (e.g., I think, ...guess, ... know, ...believe).

J19. Does Javin use words to quantify a statement?

2= uses words to indicate the quantification in a statement most of the time when appropriate
1= occasionally uses words to indicate quantification in a statement

Javin will use words or phrases to quantify a verbal response (e.g., all, some, sometimes, never, a, the, always).

J20. Does Javin use words or phrases to describe an emotional state related to a statement?
2= uses words to indicate the emotional state associated with making a statement most of the time when appropriate
1= occasionally uses words to indicate the emotional state associated with making a statement

Javin will use words or phrases to describe an emotional state related to a statement (e.g., I regret to inform you..., I'm sorry, but...,
I'm happy to say...).

K) PLAY & LEISURE SKILLS

K7. Does Javin play with toys (multiple responses) consistent with an identifiable theme?
4= spontaneously does at least 5 activities with 5 different toys 3= at least 5 activities for 2 toys 2= at least 5 related activities with
one toy
1= spontaneously does at least 2 related activities with one toy

Javin will play with toys consistent with an identifiable theme (e.g., cooking implements, dolls, action figures).

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K9. Does Javin play with several of his peers, either individually or in a group activity?
4= interactively plays with at least 8 different peers (individual or group interactions)
3= interactively plays with at least 6 different peers
2= interactively plays with at least 4 different peers
1= interactively plays with at least 2 different peers (individual or group interactions)

Javin will engage in interactive play activities with a variety of peers.

K10. Can Javin pretend to be somebody or pretend to do an activity (e.g., pretend to be Mommy, Daddy, a
dog, a doctor, serving tea, play dress-up)?
4= can pretend to be at least 10 characters or pretend to do activities
3= at least 5 characters or activities
2= at least 2 characters or activities
1= at least 1 character or activity

Javin will act out roles of characters or activities while playing.

K11. Does Javin talk about what he is doing while playing with other children?
4=while playing with a peer
engages in at least 10 verbal responses to the peer in a 10-minute period
3= 5 verbal responses in 10 minutes
2=
2 verbal responses in 10 minutes
1= 1 verbal response in a 10-minute period

Javin will ask for items and actions, label items and actions, and make other related comments while engaging in play activities.

K13. Does Javin allow peers to give him instructions and direct his actions while engaging in interactive
activities?
4= follows both stated and implied directions from peers in at least four play activities
3= follows both stated and implied directions from peers in at least three play activities
2= follows both stated and implied directions from peers in at least one play activity
1= follows stated directions from peers to perform at least one activity without requiring extensive peer prompting

Javin will be able to allow peers to guide a coordinated play activity (follow directions from peers).

K14. Can Javin play interactive games that require him to attend to the actions of others and adjust his
participation based on his peers' behavior?
4= can play at least 3 interactive games without assistance
3= can play at least 2 interactive games without assistance
2= only needs some prompts either to attend to his turn OR to complete the action (not both)
1= can participate in playing games but needs some prompts to attend to when it is his turn and some prompts to complete the
necessary actions of the game (not totally prompted)

Javin will be able to play interactive games that require him to attend to the actions of others and adjust his participation based on
his peers' behavior.

K15. Can Javin play board games with his peers?

4= can play at least three board games without assistance
3= can play at least two board games without assistance
2= only needs some prompts either to attend to his turn OR to complete the action (not both)
1= can participate in playing board games but needs some prompts to attend to when it is his turn and some prompts to complete
the necessary actions of the game (not totally prompted)

Javin will be able to play board games with peers.

L) SOCIAL INTERACTIONS
L4. Does Javin attend to or show an interest in the behavior of peers?
2= attends to the physical and verbal behavior of peers
1= attends to the physical actions of peers

Javin will attend to or show an interest in the physical and verbal behavior of peers.

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L9. Does Javin attend to the behavior of peers?

2= imitates multiple-step sequences of motor and verbal behaviors exhibited by peers
1= imitates simple
single-step movements of peers

Javin will attend to and imitate the physical and verbal behavior of peers.

L10. Does Javin return greetings to others?

2=Javin returns greetings from peers without prompts
1= Javin returns greetings from peers but often requires an indirect verbal prompt

Javin will return greetings from others.

L11. Does Javin approach and attempt to physically prompt others to do a specific activity?
4= often makes independent multiple attempts
3= sometimes makes independent multiple attempts
2= makes single independent attempts
1= makes a single attempt when prompted

Javin will approach and attempt to physically prompt others to do a specific activity.

L12. Does Javin go along with the attempts of peers to engage him in an interaction (e.g., play with a toy or
game, participate in an outdoor activity)?
2= readily goes along with interactions initiated by peers in most positive situations
1= when carefully approached
goes along with interactions initiated by some peers
in some situations

Javin will respond appropriately to the attempts of peers to engage him in an interaction (e.g., play with a toy or game, participate
in an outdoor activity).

L16. Does Javin spontaneously label items for both adults and peers?
4= Labels multiple items for 3 peers and adults without prompts
3= single label for 1 peer & multiple for adults without prompts
2= single label for 1 peer without prompts
1= single label for adults without prompts

Javin will spontaneously label items for both adults and peers.

L17. Does Javin make and maintain appropriate eye contact while interacting with others?
2= when as a listener & speaker with adults & peers
1= when as a listener & speaker with adults

Javin will make appropriate eye contact when interacting with others.

L18. Does Javin ask peers for an item?

2= Spontaneously and frequently asks peers for items without prompts
1= asks peers for items with prompts

Javin will ask peers for (single) items.

L19. Does Javin ask others to share some of their items?

2= usually without prompts 1= does when prompted

Javin will ask others to share their items (multiple) with him.

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L20. Does Javin offer to share items with others?

4= often makes independent multiple attempts
3= sometimes makes independent multiple attempts
2= makes single independent attempts
1= makes a single attempt when prompted

Javin will offer to share items with others.

L21. Does Javin initiate greetings to others?

2=Javin greets peers without prompts
1= Javin greets peers but often requires a verbal prompt

Javin will appropriately initiate greetings to others.

L23. Does Javin notice and shift his attention when his peers shift their attention to an interesting item or
activity?
2= will usually look at or approach and investigate an item or activity when a few peers turn to look at or show an interest in an
item or event
1= will usually approach and investigate an item or activity when a large group of his peers points to an item or changes location
and shows an interest in a particular item or event

Javin will be able to attend to peers' orientation to items and events.

L24. Does Javin allow peers to give him instructions regarding socially-acceptable behavior?
2= usually follows both stated and implied directions from peers in a variety of contexts
1= follows stated directions from at least one peer to adjust his behavior in at least one situation

Javin will be able to follow directions from peers to adjust his behavior to be more socially acceptable.

L25. During a task-related activity, does Javin observe changes in a peer's actions and make adjustments to
his own actions?
2= usually attends to and makes adjustments based on a peer's actions
1= occasionally attends to and makes adjustments to task-related activity based on a peer's actions

During a task-related activity, Javin will be able to observe changes in a peer's behavior and adjust his actions to correspond to the
peer.

L26. Does Javin notice that a peer needs help to see, hear, or do something and then helps adjust the
situation so the peer can enjoy the activity?
2= will usually make adjustments to accommodate a peer when the peer indirectly indicates a problem (I can't see it")
1= will usually make adjustments to accommodate a peer when the peer asked Javin to take a certain action (e.g.
"move over")

When others indicate that they are unable to get to something or unable to see or hear something, Javin will arrange the materials
so the peer can participate in the activity.

L27. Does Javin know the likes and dislikes of others?

2= knows at least 2 specific things enjoyed or not enjoyed by at least 4 people
1= knows at least 2 specific things enjoyed or not enjoyed by at least 2 people

Javin will be able to state items and activities that are enjoyed by others and state which people like a particular item or activity.

L28. Does Javin direct others to see things that they know would be of interest to that particular individual?
2= frequently directs several different peers and adults to items and activities that would be of interest to each person
1= can direct at least one individual to something that is of interest to that person at least twice per week

Javin will be able to know what activities, news or items would be of interest to specific individuals and will direct their attention to
those items.

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L29. Does Javin notice if others are enjoying an activity or conversation and change what he is doing based
on those observations?
2= will usually notice from a peer's facial feedback (e.g.
smiles and looks interested
looks away) that he/she is interested or not interested in something
1= will respond to peer's level of interest only when directly told by the peer that he/she is or is not interested

Javin will be able to attend to and respond to feedback from others that indicate their interest in a topic or activity.

L30. Is Javin able to deliver a short message to others?

2= can find a specified person
get his/her attention and deliver a four-word message after going into an adjoining room to deliver the message
1= can deliver a three-word message after going across a room to deliver the message

Javin will be able to go to a person repeat a short message that he was asked to say to the person.

L31. Does Javin wait for the appropriate time to enter a conversation? Does he wait to speak if given a hand
signal to wait until there is further acknowledgement from one of the speakers?
2= when others are talking
usually waits for a person to look at him before speaking or appropriately attempts to catch speakers' attention ("excuse me")
1= will wait for speakers to finish if given a hand signal to wait by one of the speakers

Javin will be able to wait for a break in an on-going conversation before attempting to speak with one of the people involved in the
conversation.

L32. Does Javin converse with others?

4= at least 3 exchanges with adults & peers
3= 2 exchanges with adults & peers
2= 1 exchange with adults & peers
1= 1 exchange with adults

Javin will converse with adults and peers for up to three exchanges.

L33. Does Javin spontaneously ask both peers and adults for information?
2= frequently and spontaneously asks peers and adults for information 1= occasionally will spontaneously ask an individual for
information

Javin will spontaneously ask both peers and adults for information.

L34. Does Javin get others' attention while attempting to interact even when the other person may not
initially respond to his attempt to get a person's attention?
4= successfully obtains and maintains interaction with peers & adults
3= will persist in attempting to get attention from adults and peers
2= can get attention from responsive adults & peers
1= can get attention from responsive adults

Javin will be able to get and maintain another individual's attention prior to presenting an instruction to that individual.

M) GROUP INSTRUCTION
M2. Does Javin sit in a group-teaching situation without disrupting others (e.g., attempting to leave the
group, touching other children, distracting repetitive behavior, making non-task-related noises)?
4= 1:16 group for 15 min.
3= 1:12 (OR 2:16) for 15 min.
2= 1:8 for 15 min.
1= 1:6 for 15 min.

Javin will sit without engaging in disruptive behavior during group instruction.

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M3. Does Javin attend to the teacher in a group-teaching situation?

4= 1:4 group for 75% of time
3= 1:3 group 75%
2= 1:2 group for 75%
1= 1:2 group for 50% of time

Javin will attend to a teacher during small-group instruction.

M4. Does Javin attend to the responses given by other students in a group teaching situation?
4= 1:4 group for 75% of time
3= 1:3 group 75%
2= 1:2 group for 75%
1= 1:2 group for 50% of time

Javin will attend to the responses given by other students during small group instruction.

M5. Does Javin follow instructions which are given to a group of students?
4= In a 1:4 group responds at the same time as others respond for 75% of known instructions
3= 1:3 group 75%
2= 1:2 group for 75%
1= 1:2 group for 50% of known instructions

Javin will follow instructions presented to a group of students.

M6. Does Javin follow instructions which are given to a group of students which require him to make a
discrimination?
4= In a 1:4 group responds at the same time as others respond for 75% of known instructions
3= 1:3 group 75%
2= 1:2 group for 75%
1= 1:2 group for 50% of known instructions

Javin will follow instructions presented to a group of students which require him to make a discrimination.

M7. Does Javin raise his hand when the teacher asks a group of students who would like to be selected to do
an activity?
2= independently raises hand to request to be selected to do a preferred activity on at least 50% of opportunities presented to a
group of at least 8 students
1= independently raises hand to request to be selected to do a preferred activity on at least 50% of opportunities presented to a
group of at least 4 students

Javin will raise his hand to respond to questions presented to the group of students regarding who would like to do an activity.

M8. Can Javin raise his hand to answer a question?

2= can independently respond to questions
1= requires only a gestural prompt for less than 50 % of known questions.

Javin will be able to raise his hand to answer simple questions.

M9. Can Javin raise his hand to be called upon and then name an item being displayed?
2= can independently raise hand and name known items
1= requires only a gestural prompt for less than 50 % of known questions to raise hand and answer

Javin will be able to raise his hand and name an item being displayed.

M10. Can Javin raise his hand to answer a question about items that are not present?
2= can independently raise hand and answer known questions
1= requires only a gestural prompt for less than 50 % of known questions to raise hand and answer

Javin will be able to raise his hand to answer simple questions about items that are not present.

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M11. Does Javin take turns during group instruction?

2= takes turns appropriately & 75% time without prompts
1= 75% with prompts

Javin will appropriately take turns with other students during group-instruction activities.

M12. Does Javin learn new academic skills while participating in group instruction?
2= readily acquires new skills
1= acquires some skills with repetitive exposure to the material

Javin will readily acquire new academic skills during group-instruction activities.

N) FOLLOW CLASSROOM ROUTINES

N7. Will Javin remain on-task when instructed to independently engage in academic activities?
4= 20 minutes
3= 15 minutes
2= 10 minutes
1= 5 minutes

Javin will work independently on known educational activities.

P) GENERALIZED RESPONDING
P3. Does Javin use skills acquired in training situations in other situations?
2= readily uses acquired skills without prompts outside of the original training situation
1= uses acquired skills outside of the original training situation with minimal verbal prompts

Javin will be able to use skills acquired in training situations in other situations.

P4. Does Javin use skills acquired in individual teaching sessions when in group situations with peers?
2= spontaneously uses acquired skills under group situations
1= uses skills in groups only with minimal verbal prompts

Javin will be able to use skills acquired in individual teaching sessions when in group situations with peers.

P5. After learning an appropriate response to a given situation, does Javin use other alternative appropriate
responses under those same conditions?
2= spontaneously uses a variety of appropriate responses rather than a single response and uses variation in responses with
multiple components
1= uses some alternative responses with minimal verbal prompts

Javin will be able to use other appropriate responses after learning a response to a given situation.

P6. Can Javin learn words during one type of language skill training then use the acquired word in other
types of language skills?
2= When Javin is taught to receptively identify an item when given its function
he can then state the item when verbally told its function
1= When taught the name of an item
Javin then can ask for and receptively identify the item

Javin will be able to use words acquired during one type of language skill to other types of language skills.

Q) READING SKILLS
Q1. Can Javin receptively identify upper- and lower-case letters?
4= can identify all 26 uppe-r & lower-case letters
3= can identify a total of at least 15 upper- or lower-case letters
2= can identify at least a total of 10 upper- or lower-case letters
1= can identify at least a total of 5 upper- or lower-case letters

Javin will be able to receptively identify upper- and lower-case letters.

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Q2. Can Javin name upper- and lower-case letters?

4= can label all 26 upper- & lower-case letters
3= can label a total of at least 15 uppe-r or lower-case letters
2= can label at least a total of 10 upper- or lower-case letters
1= can label at least a total of 5 upper- or lower-case letters

Javin will be able to name upper- and lower-case letters.

Q3. Can Javin select the corresponding letter when given the sounds associated with letter?
4= can identify the sounds of at least 20 letters
3= can identify the sounds of at least 10 letters
2= can identify the sounds of at least 5 letters
1= can identify the sounds of at least 2 letters

Javin will be able to select the corresponding letter when given the sounds associated with letter.

Q4. Can Javin give the sounds associated with letters?

4= can identify the sounds of at least 20 letters
3= can identify the sounds of at least 10 letters
2= can identify the sounds of at least 5 letters
1= can identify the sounds of at least 2 letters

Javin will be able to give the sounds associated with letters.

Q5. Can Javin match words to pictures?

4= can match at least 20 words with corresponding pictures
3= can match at least 10 words with corresponding pictures
2= can match at least 5 words with corresponding pictures
1= can match at least 2 words with corresponding pictures

Javin will be able to match words to pictures.

Q6. Can Javin match word cards to the same words written in different fonts when words are presented in a
display of three word cards?
4= different fonts with only 1 letter different in non-target words 3= same fonts 1 letter different
2= same fonts 2 letters different in non-matching words
1= same fonts with 3 or more different letters in non-matching words

Javin will be able to match word cards to those same words written in different fonts presented in a display of three word cards.

Q7. Can Javin name the letters of words reading from left to right across the word?
2= can point to and name the letters of 5 letter words (left to right) without prompts
1= can point to and name the letters of 3 letter words (left to right) with only one prompt per word

Javin will be able to name the letters of words reading from left to right across the word.

Q8. Can Javin match individual letters to the letters on cards with single 5-letter words?
2= can match letters for words up to 5 letters in length when given extra letters
some of which are similar (e.g.
e & a)
1= can match letters for words up to 3 letters in length when not given extra letters
and the letters are not similar (e.g.
bat)

Javin will be able to match individual letters to the letters on cards with single 5-letter words.

Q9. Can Javin add a small letter card to complete three-letter words when given a picture of an object and
two of three letters for the word provided?
2= can add a letter in any position of the word for at least 10 words
1= can add a letter at least one position of the word for at least 5 words

Given a picture of an object and two of three letters provided, Javin will be able to add a small letter card to complete three-letter
words.

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Q10. Can Javin read words?

4= can read at least 50 words
3= can read at least 20 words
2= can read at least 10 words
1= can read at least 5 words

Javin will be able to read words.

Q11. Can Javin decode/sound out unknown words?

2= can sound out 20 words of 4 or more letters including words that Javin doesn't know receptively or as a label
1= can sound out any consonant-vowel-consonant words using known phonemes

Javin will be able to decode unknown words.

Q12. Can Javin read phrases?

4= can read any phrase containing combinations of known words
3= can read 10 three-word phrases
2= can read 5 three-word phrases
1= can read 2 three-word phrases

Javin will be able to read phrases.

Q13. Can Javin read sentences?

4= can read any sentence containing combinations of known words
3= can read 10 four-to-six word sentences
2= can read 5 four-to-six word sentences
1= can read 2 four-to-six word sentences

Javin will be able to read sentences.

Q14. Can Javin choose a word from a selection of words to fill in a missing word when given an incomplete
sentence?
2= can select the appropriate word from an array of 3 words which differ on less than 50% of the letters
1= can select the appropriate word from an array of 2 words which differ on more than 50% of the letters

Javin will be able to choose a word from a selection of words to fill in a missing word when given an incomplete sentence.

Q15. Can Javin read and follow simple instructions to perform an action (e.g., Give the red cup to Mommy,
Give Daddy a hug)?
2= can read at least 20 sentences and perform at least 6 different actions
1= can read at least 10 sentences and perform at least 3 different actions (e.g.
give
get
put on
put in)

Javin will be able to read and follow simple instructions to perform an action.

Q16. Can Javin read and follow simple instructions on worksheets (e.g., put a circle around the bird, draw a
line under the shoe)?
2= can read at least 20 sentences and follow at least 6 different directions
1= can read at least 10 sentences and follow at least 3 different directions (e.g.
circle
underline
color)

Javin will be able to read and follow simple instructions on worksheets.

Q17. Can Javin read sentences and answer questions regarding the sentence?
2= can read at least three sentences and answer simple questions regarding the content
1= can read a single sentence and answer a simple question regarding the content

Javin will be able to read sentences and answer questions regarding the sentence.

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R) MATH SKILLS
R1. Can Javin continue counting to 10 when the sequence is started for him?
2= can continue counting to 10 if started with "1
2"
1= can count along with instructor to 10 (vocal imitation)

Javin will be able to continue counting to 10 when the counting sequence is started for him.

R2. Can Javin rote count?

4= can count to any specified number up to 30
3= can count to 30
2= can count to 20
1= can count to 10

Javin will be able to rote count to 30.

R3. Can Javin continue counting objects to 10 when the sequence is started for him?
2= can continue counting objects to 10 if started with "1
2"
1= can count along with instructor to 10 (vocal imitation) even if the instructor varies the pace of the counting (e.g.
1
2
...(pause) 3,...4
5...6
etc)

Javin will be able to continue counting objects to 10 when the counting sequence is started for him.

R4. Can Javin count items given to him (with 1-to-1 correspondence) even if the items are not arranged in a
straight row?
4= can count any amount up to 100
3= can count any amount up to 20
2= can count any amount up to 10
1= can count any amount up to 5 even if the items are not presented in a row (i.e.
slightly scattered)

Javin will be able to count the number of items given to him even if the items are not arranged in a straight row.

R5. Can Javin count out a specified number of items from a larger set of items?
4= can count any amount up to 30
3= can count any amount up to 20
2= can count any amount up to 10
1= can count any amount up to 5

Javin will be able to count out a specified number of items from a larger set of items.

R6. Can Javin name the numerals on a number line?

2= will name the numerals 1 to 10 on a number line
1= will name the numerals on a number line when verbally prompted "1,2.." while instructor points to the numerals.

Javin will be able to name the numerals on a number line.

R7. Can Javin name numbers?

4= can identify numbers to 100
3= can identify numbers to 30
2= can identify numbers to 20
1= can identify numbers to 10

Javin will be able to name numbers to 100.

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R8. Can Javin match numbers with the same amount of items and vice versa?
4= can match items with numbers to 30 (and vice versa)
3= can match items with numbers to 20
2= can match items with numbers to 10
1= can match items with numbers to 5

Javin will be able to match numbers with the same amount of items and vice versa.

R9. Can Javin receptively identify and label examples of the word "more"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "more."

R10. Can Javin receptively identify and label examples of the word "less"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "less."

R11. Can Javin receptively identify and label examples of the word "some"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "some."

R12. Can Javin receptively identify and label examples of the word "all"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "all."

R13. Can Javin receptively identify and label examples of the word "zero/none"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "zero/none."

R14. Can Javin determine how many more items are needed to make a set of a larger quantity?
2= physically places additional items to make a total set of up to 10 items
1= physically places additional items to make a total set of up to 5 items.

Given a set of items, Javin will be able to get the correct number of additional items to make a set of a specified quantity.

R15. Can Javin receptively identify and label examples of the word "same"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "same."

R16. Can Javin receptively identify and label examples of the word "different"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "different."

R17. Can Javin receptively identify and label examples of the word "greater"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "greater."

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R18. Can Javin receptively identify and label examples of the word "add"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "add."

R19. Can Javin walk at least 10 feet and count a specified number of identical items (up to 10 items) from a
larger set and return with those items?
4= can get any amount up to 10
3= get any amount up to 6
2= can get any amount up to 4
1= can get up to 2 items

Javin will be able to walk at least 10 feet and count-out a specified number of identical items (up to 10 items) from a larger set and
return with those items.

R20. Can Javin add numbers?

4= adds 2 numbers 1 to 99 with carrying
3= adds 2 numbers 1 to 20 with carrying
2= adds 2 numbers 1 to 20 without carrying
1= adds 2 numbers 1 to 10

Javin will be able to add numbers with carrying.

R21. Can Javin tell time with either a standard (analog) or a digital clock?
4= to the nearest minute
3= to the quarter hour
2= to the half hour
1= to the hour

Javin will be able to tell time to the nearest minute

R22. Can Javin name coins?

2= can identify 4 coins by name
1= can identify 2 coins by name

Javin will be able to identify all coins by name.

R23. Can Javin identify the value of coins?

2= can identify 4 coins by value
1= can identify 2 coins by value

Javin will be able to identify the values of all coins.

R24. Can Javin interchange coins to arrive at equal values?

4= can add a mixture of various coins to $1.00
3= can add a mixture of various coins to 50 cents
2= can add coins to 25 cents
1= can add coins to 10 cents

Javin will be able to interchange coins to arrive at equal values.

R25. Can Javin receptively identify and label examples of the word "equal"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "equal."

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R26. Can Javin receptively identify and label examples of the word "unequal"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "unequal."

R27. Can Javin receptively identify and label examples of the word "minus"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "minus."

R28. Can Javin receptively identify and label examples of the word "plus"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "plus."

R29. Can Javin receptively identify and label examples of the word "subtract/take away"?
2= can both receptively identify and label
1= can either receptively identify or label

Javin will be able to receptively identify and label examples of the word "subtract/take away."

S) WRITING SKILLS
S2. Can Javin color within lined areas?
2= can neatly color pictures
staying mainly within the lines of various shapes (approximately 2 square inches or less)
1= can neatly color within boundaries of single large shapes (approximately 4 square inches or less)

Javin will be able to color within lined areas.

S3. Can Javin trace lines and shapes?

4= accurately traces lines
and curved and straight-lined shapes
3= accurately traces curved figures (circles and ovals) OR straight-lined figures (squares
rectangles and triangles) within 1/8 to 1/4 inch of the sample
2= accurately traces straight and curved lines
1= accurately traces straight lines

Javin will be able to trace lines and shapes.

S5. Can Javin copy simple straight lines?

4= Neatly copies straight lines and shapes (matching size and orientation)
3= roughly copies straight lines and shapes
2= roughly copies straight lines without prompts
1= roughly copies simple straight lines with minimal physical or visual prompts

Javin will be able to copy simple straight lines.

S6. Can Javin copy curved lines?

4= Neatly copies curved lines and shapes (matching size
shape and orientation)
3= roughly copies complex curved lines
2= roughly copies simple curved shapes without prompts
1= roughly copies simple curved lines with minimal physical or visual prompts

Javin will be able to copy simple curved lines.

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S7. Can Javin copy letters?

4= can neatly copy all upper & lower case letters accurately within lines
3= neatly copy at least 10 upper or lower case letters
2= can copy (rough approximation) at least 10 letters
1= can copy (rough approximation) at least 5 letters

Javin will be able to copy letters.

S8. Can Javin copy numbers?

4= can neatly copy numbers 1 to 100
3= can neatly copy numbers 1 to 20
2= can copy (rough approximation) numbers 1 to 10
1= can copy (rough approximation) any 5 numbers

Javin will be able to copy numbers.

S9. Can Javin print letters without a model?

4= can neatly write all upper & lower case letters accurately within lines
3= neatly write at least 10 upper or lower case letters
2= writes (rough approximation) at least 10 letters
1= writes (rough approximation) at least 5 letters without a model

Javin will be able to print letters without a model.

S10. Can Javin print numbers without a model?

4= neatly writes numbers 1 to 100
3= can neatly write numbers 1 to 20
2= writes (rough approximation) numbers 1 to 10
1= writes (rough approximation) any 5 numbers without a model

Javin will be able to print numbers without a model.

T) SPELLING
T1. Can Javin match individual letters to the letters on cards with single 5-letter words?
2= can match letters for words up to 5 letters in length when given extra letters
some of which are similar (e.g.
e & a)
1= can match letters for words up to 3 letters in length when not given extra letters
and the letters are not similar (e.g.
bat)

Javin will be able to match individual letters to the letters on cards with single 5-letter words.

T2. Can Javin add a small letter card to complete three-letter words when given a picture of an object and
two of three letters for the word provided?
2= can add a letter in any position of the word for at least 10 words
1= can add a letter at least one position of the word for at least 5 words

Given a picture of an object and two of three letters provided, Javin will be able to add a small letter card to complete three-letter
words.

T3. Can Javin copy words by writing or typing?

2= can accurately copy six-letter words by typing or by writing (within lines
with upper- and lower-case letters
& with appropriate spacing)
1= can copy three-letter words

Javin will be able to copy 6 letter words by writing or typing.

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T4. Can Javin write in the missing letter to complete three-letter words when given a picture of an object
and two of three letters for the word provided?
2= can add a letter in any position of the word for at least 10 words
1= can add a letter at least one position of the word for at least 5 words

Given a picture of an object and two of three letters provided, Javin will be able to write in the missing letter to complete three-
letter words.

T5. Can Javin spell words vocally?

4= 25 words
3= 10 words
2= 5 words
1= 2 words

Javin will be able to spell words vocally.

T6. Can Javin write or type dictated words?

4= 25 words
3= 10 words
2= 5 words
1= 2 words

Javin will be able to write or type dictated words.

T7. Can Javin spell his name vocally or by writing or typing?

2= can spell his own name both vocally and in a writing or a typed form
1= can spell his own name either vocally or in writing or a typed form

Javin will be able to spell his own name both vocally and by writing or typing.

U) DRESSING SKILLS
U4. Can Javin put on (fastening buttons not required) and remove buttoning types of shirts?
2= can remove and correctly put on a buttoning type of shirts (fastening buttons not required)
1= can either remove or put on buttoning shirts

Javin will be able to put on (fastening buttons not required) and remove buttoning types of shirts without assistance.

U6. Can Javin put on and remove his socks?

2= can remove and correctly put on socks
1= can either remove or put on socks

Javin will be able to put on and remove his socks without assistance.

U7. Can Javin put on (fastening buttons, snaps and zippers not required) and remove his coat (requires
unfastening buttons or snaps, or unzipping)?
2= can remove (requires unfastening buttons or snaps
or unzipping) and correctly put on coat (fastening buttons
snaps and zippers not required)
1= can either remove or put on coat

Javin will be able to put on (fastening buttons, snaps and zippers not required) and remove his coat (requires unfastening buttons
or snaps, or unzipping) without assistance.

U10. Can Javin zip and unzip zippers (includes starting a zipper)?
2= can start and zip and unzip a zipper on an article of clothing
1= close a zipper which is started on an article of clothing

Javin will be able to zip and unzip zippers on clothing without assistance.

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U11. Can Javin fasten buttons on his clothing?

4= can fasten buttons on a shirt
3= can fasten large buttons on a non-clothing item
2= can undo small buttons on a shirt
1= can undo large buttons on a non-clothing item

Javin will be able to fasten buttons on his clothing without assistance.

U12. Can Javin undo and fasten snaps?

2= can fasten and unfasten snaps on an article of clothing
1= can fasten and unfasten snaps on a non-clothing item

Javin will be able to undo and fasten snaps on clothing without assistance.

U13. Can Javin undo and fasten belts?

2= can fasten and unfasten buckles on an article of clothing
1= can fasten and unfasten buckles on a non-clothing item

Javin will be able to undo and fasten belts without assistance.

U15. Can Javin tie his shoes?

2= can tie shoes without assistance
1= can do at least one step in the shoe-tying process

Javin will be able to tie his shoes without assistance.

V) EATING SKILLS
V7. Can Javin cut his own food with a knife?
2= Independently
1= with only verbal or gestural prompts

Javin will be able to cut his own food with a knife.

W) GROOMING SKILLS
W3. Can Javin wash his face without assistance?
2= Independently
1= with only verbal or gestural prompts

Javin will be able to wash his face without assistance.

W4. Can Javin dry his face without assistance?

2= Independently
1= with only verbal or gestural prompts

Javin will be able to dry his face without assistance

W5. Can Javin comb or brush his hair without assistance?

2= Independently
1= with only verbal or gestural prompts

Javin will be able to comb or brush his hair without assistance.

W6. Can Javin brush his teeth using toothpaste without assistance?
2= Independently
1= with only verbal or gestural prompts

Javin will be able to brush his teeth using toothpaste without assistance.

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W7. Can Javin blow his nose as needed?

2= Independently
1= with only verbal or gestural prompts

Javin will be able to independently blow his nose as needed.

X) TOILETING SKILLS
X2. Can Javin remain dry (urine) all day if taken to the toilet on a regular basis?
4= has no wet pants in any environment (home
school
nor community)
3= has no more than 2 wet pants total per week for all environments combined
2= has no more than 2 wet pants per week in controlled environments (i.e.
home and school)
1= has no more than 4 wet pants per week

Javin will remain dry throughout the day when taken to the toilet on a regular schedule.

X4. Does Javin ask to use the restroom as needed in familiar settings and when out in public?
2= uses words or ASL to indicate need to use the toilet as needed in public and familiar settings
1= uses words or ASL to indicate need to use the toilet as needed in familiar setting

Javin will request to use the toilet as needed both in a familiar setting and when in public.

X5. Can the (female) Javin wipe self after urinating?

2= wipes self completely without assistance
1= wipes self
but requires some verbal prompts (Note: males score = Not Applicable (NA))

Javin (female) will be able to wipe self after urinating.

X6. Does Javin have bowel movements in the toilet?

2= at least 2 times per week
1= has had at least 2 bowel movements in toilets

Javin will have at least two bowel movements in the toilet per week.

X8. Can Javin wipe self after bowel movement?

2= wipes self completely without assistance
1= wipes self
but needs to be checked for completeness

Javin will be able to wipe self after bowel movement.

X9. Can Javin independently use a familiar restroom bowel movements?

2= toileting process is totally completed independently (including bowel movements)
1= has to be verbally prompted for some aspects of the process

Javin will be able to independently use a familiar restroom for bowel movements.

X10. Can Javin use the restroom independently?

2= toileting process is totally completed independently
1= has to be verbally prompted for some aspects of the process

Javin will be able to independently use the toilet.

Y) GROSS MOTOR SKILLS

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Y24. Can Javin toss an 8-inch ball into the air at least 12 inches and catch it in his hands (i.e., not trap to chest
with arms)?
1= Yes
0=No

Javin will be able to toss a ball in the air and catch it in his hands.

Y27. Can Javin pump his legs while swinging?

1= Yes
0=No

Javin will be able to pump his legs while swinging.

Y28. Can Javin skip?

1= Yes
0=No

Javin will be able to skip.

Y29. Can Javin do jumping jacks?

1= Yes
0=No

Javin will be able to do jumping jacks.

Y30. Can Javin ride and stop a bicycle?

1= Yes
0=No

Javin will be able to ride and stop a bicycle.

Z) FINE MOTOR SKILLS

Z5. Can Javin accurately place blocks on block-design cards?
1= Yes
0=No

Javin will be able to accurately place blocks on block-design cards.

Z10. Can Javin color within boundaries?

1= Yes
0=No

Javin will be able to color within boundaries.

Z22. Can Javin paste shapes on a plain piece of paper to complete an art project which matches a sample
picture?
1= Yes
0=No

Javin will be able to paste cut-out pieces of paper in appropriate positions on an outlined picture to make the picture match a
sample art project (e.g., make a clown face).

Z26. Can Javin watch somone fold a piece of paper in half and then fold a piece of paper in a simialr manner?
1= Yes
0=No

Javin will be able to watch somone fold a piece of paper in half and then imitate the model.

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Z27. Can Javin cut out shapes with scissors?

1= Yes
0=No

Javin will be able to cut out shapes with scissors.

Z28. Can Javin accurately copy simple shapes and line patterns (e.g., Make an "X", square, triangle, circle,
row of dots) with correct orientation and size of figures?
1= Yes
0=No

Javin will be able to accurately copy simple shapes and line patterns, including correct orientation and size of figures.

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