Fine/Gross Motor Skill Rating Scale

Observer: Jorden
Date: 11-5-16
Start Time:
Stop Time:
Name of Child: Moriah Bullock
Age: 43 months Birth date: 4-19-13

Select one student. Find out their birthday. Using their birthday, create a list of fine and gross motor skills using the appendix in the back of your
book. You should select 5 fine motor skills and 5 gross motor skills. Interact with the students to rate them on the skills listed.

Skills Never Sometimes Usually Always

Fine Motor Skills

1. Builds a tower of 9-10 cubes *

2. Traces a diamond *

3. Wiggles thumb *

4. Completes simple puzzles *

5. Folds paper twice (in imitation) *

Gross Motor Skills

6. Walks toe-to-heel for four steps *

7. Balances on one foot for 8 seconds *

8. Catches a beanbag while standing *

9. Performs 1 to 3 hops on one foot *

10. Catches a bounced ball with hands *