Directions: Complete the checklists below by performing the following skill.

Look for a partner to assist

you to perform the following tasks.

SKILLS YES NO

1. Hopping on one foot. ✓

2. Walking up and downstairs with alternating ✓

feet.
3. Walking along a line. ✓

4. Catching a ball that has been bounced ✓

5. Kicking a ball forward. ✓

6. Catch a ball with hands instead of using ✓

arms and body.
7. Jumping forwards 10 times in a row. ✓

8. Walking on tiptoes. ✓

9. Throwing ball underarm while stepping ✓

forward with opposite foot.
10. Throwing ball overarm while stepping ✓
forward with opposite foot.
11. Jumping over an object and landing two ✓
feet together.
12. Standing, hopping on one foot landing on ✓
two feet together.
13. Walking up and down stairs while holding ✓
an object.
14. Catching a small ball using hands only. ✓

15. Ride a bike. ✓

16. Hold the stork position with a still posture ✓

for 10 seconds.
17. Hold the 4-point kneeling position for 10 ✓
seconds.
18. Hold the 3-point kneeling position leg ✓
extended for 10 seconds.
19. Hold the 3-point kneeling position arm ✓
extended for 10 seconds.
20. Hold the cross-leg position for 10 seconds. ✓

21. Hold the high-kneel position for 10 ✓

seconds.
22. Hold the half kneel position for 10 seconds. ✓

23. Stand straight, arms by side. Jump into a ✓

star position, arms and legs wide, jump
 back straight position, repeat 10 times.
24. Walk sideways along a line, crossing one ✓
leg in front of another, change direction.
25. Stand with knees slightly apart and bent ✓
knees. Arms are positioned behind. He/she
is then instructed to raise his/her arms
forward and upwards and stand on his
toes. Repeat until fluent. “Swing up, swing
down”.