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    © All Rights Reserved
    Download as PDF or read online from Scribd
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    52 views10 pages

    Folhas de Tabulação

    Uploaded by

    Karina Brandão

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
    of 10
    Sensory Processing Measure-Preschool AVR iu) pm- Dione A Hany, M8 OTL FAOTA Summary Sheet t ‘ td Tea lemon’ EAD OTP, FAOTA ame (or 18): es oe: M OF Date tis form compl: PreschoovDay care Teacher —_ Reason for assessment: tle soc us ea rou 200 ea Pu ror Tle ow 0 0 0 ao Ty asa w 70 ar-88 a 2 125-108 ” 8 35.98 sa 38 wr38 17-184 7 8 s3t ser as oe. 2 a Te n 78 ar 2 mss 31 8 10-168 % 6 8 at 228 8 3 aa 2 150-158 5 om 74 2 25-26 0 a wa 4 380 e 7 2 By a % m0 10 9 R % 8 at By 2% ana 2 won 5 6-27 sts a 1% nse n 23.25 a eat 2 szmi29 n 7 6 co @ w 2 Tae % 1-127 oo 6 6 2 2% 15-19 cae e 8 a Ey Ey 2 2 meas ttt a 6 2 2 19 2 106-108 98 a 8 31 2 0 2 wen 8 2 109-105 6 8 eo 2 7 a ° 6 o 8 0 0 8 moat 16 298 a 9 e 8 8 7 8 2 2» est 2 6 8 2 8 9 6 19 7-88 st 88 uo 7 6 7 85 os zs = © 7 % ae 58 a 16 6 6 7 18 a4 7 oo 6 ry 1" 8 7 7% m6 5 6 16 ro-82 ae ss ws 16 “ 18 78 a) eo 2% 4 “ 8 7 st 68 2 8 2 4 2 m8 se e 2 2 0 ” “ nas 258 sti 2 8 7 5 54 50 18 18 wae a 9 «4 Py 2 2 " 7 o 4 2 # 8 ae a4 19 2 2 2 5 7% wu 4 ae) 1 4 18 " " ee 6 2M "7 " 8 “om a 8 6 " 1 2 am a 8 15 81 an wa cary 0 a8 4 02 0 cd 0 10 0 0 ss80 ow ‘le woe cy ve 70 00 val mA ToT 7 vale Rawson naw sore a 4 Fc0re Interpretive Range Type worsn a o o o a o 3 ‘Some Problems ors 0 Dette Dysionction qorsr 2 @ Puna mC rear” School Form jana A. Henry, M.S., OTR/L, FAOTA, Summary Sheet and Tara J. Glennon, 4.0., OTR/L, FAOTA Name or Daye age Gender OM OF ‘ate thie form complete: PraschoouDay car: Teacher eason for assessment: ier sac ws [ee tor 1s woe 2 mean 3 «wen | ® ne 8s ” wus | oe 7 ” sme 2 em tee | 3 | wm omar wr mis | mw | me 2 “ a = om | mon ® 2B a maT woes | om mn 2 n 2 ue o8 umn | on ® * 4 2 ers) wis | en | o ” 2 ” 2 10 noo 70 2 20 19 2 100-108 10 rs We 7 8 @ w 7 ® a7 FS e @ 7 » ® 2 a cary 5 @ ” ® ® 91-05 a A se | se ” ® 2» 3-00 © = 2 6 6 % ” wae so = 2 a x» 1” * » 5-86 um 3 oe 6 6 ® “ 8 9 te Boe 2 6 8 ” ave ao 2 Boa “ ® ® 740 a 8 2 “uo 2 18 “ 6 rt o_o Ey 2 7 7 a FF nos x « 8 8 ns a 7 2 non 8 8 ® 2 7% 3 ns » “ nan son z es » 2 2 ® s 8 5 eo » ® ® 88 s as ® 2 ” oar se a8 1” " 6 2 8 ea uo ” 1 ® « a < so 6 ® 2 8 = e 8 0 ® 8 8 2 8 ‘8 1 a ee aon “ © rae) a 0 eu a8 8 eon nu ® ” * “om od » 8 ar 1 8 » eon eo 1 ” 7 rar “0 0 0 » so 00 ve wer Ws = 0a Tr Te Rowse a ear ree asc Ineratve Range Te worm = 0 0 oO a a o Oo sae Proie Mapes el o o a a 0 Det Dytrtion wore School Form Scoring Worksheet iE vis, raw score 1 Ah yen Sensory Processing Measure—Preschool @i(uitagda) Chor! Esker, WA, OTRIL, and £ Olane Parham, Ph.D. OTRUL, FAOTA Summary Sheet Ga Tame (orton - hoe tents bat som compe: ean frases: - suet | set a a co a] > |e 0 = 23 ® 8 » om | se Ss ® 8 es mo a * ® ves | oo » 2 " 7 m3 eo “ ® " n ss 23 a 1 2 n 2 a0 8 “ b o % & 1 eo | 4s ne ® a ‘0 e eon au t 8 ® aD xo ® = ou ae & aon aa D ® ® & a8 ee : ‘ 2 " ° sx | wis a a a T avseue> a ar Fee area Interv Range s wren o o a Sone Pein ors) o a o vet pt rae cs ce ar Nc tray roto a DF atten (F ntrtation tone fom To sxe 1D Det SSW mee pts a Henin Se! ‘Schaal Form TOT Fee rvtanmentOiterance (IF) D sar=10 9s OF 2-0 155 DF PROBABLE ctfeence: More pote In Hamethan Seat a No ites in anaust of robles betwen Sehr and Home Gi -10= DiF=-14 PROBABLE dterence: More problem in Seno! han i Home o DEFINITE dterece: More problems in Sooo! tan in Home Sensory Processing Measure-Preschool Aut Taz] herp ter, td, OTR, tnd L Diane Parham, Phd, OTR, FAOTA Summary Sheet [Ages 3-5] Gerd Om OF Ran set . a vast |e = a a a a alee oe fe %8 tae | om n a % a2 wn | om n ee ee ee ee m ee mk s as we ope we | 8 et 2 = 2 nem | nome = 3 = om a me | nw n me ome mon ote | on an ai once ts Se Sa ie | on ow n pic Ce a mae_| a = eae a % = 8 9 one | a 7 ca 6 a m8 W 98-108 a host 6 a a 7 8 7 68 Cad = 8 5 5 6 6 99-8 3 iz 2a = ow ow » 8 we fae no 8 w 6 3 19-90 9 = oe " a o8 ow O eo Be “ 87 1 88 3 o_o mow na as | ow (fg es] 3 eo > ff ne « on on lan & na # ™ | an 73 56 16 6 Tr 6 78 |= os 2 ® % ® ® 5 3 3 ee | ow 8 s [ae 8 6 18 ™ 53 Ge ie 5862 13 " ” R18 $258 = a 7 sa om | e 4 nh oR a aa o ® & oe & ae » @ ae ao fon 8 a os are s 0 & on us & sa pau | a am na ® “8 « am ne 1 a en ta a8 wo | ew 4 . ue swe | a is tae a ar Tae Reese _ - oo. - : _ tavseoe Poem . — ran nee ane wWeoo on oo c mo uo o 2 o oo 8 oo 8 oo 0 a a 2 o a a Ocean 01 ean VoneRemTOT Toe... (2 OF a6 Of dewn arse Hone Pan oe couitegttrtans = 17 Msr10 PROBL pein an a Sot 1 82 Die-8 no dita in amount probians buteen Schl and Home -- | Cl 10» DF =~14. PROBABLE arene: Mor probies in Scho! than in Home [150% ——_DERWITEGinerene: or robles in Stoo han in Home ntronmetDiterence (01) = a Home Form Scoring Worksheet es I Y b= Main Classroom Form Profile Sheet ear air Kuanace 1S. OTR, FROTA, Dana A Hey. Ms, OTH, ROTA, Sensery™® Preasesing Mesure ‘and Tara J. Glennon, Ed.D., OTRVL, FAGTA Name (r 108) _ ae: _ save andes OM OF bate is tormcomplete: soot: Tester. feason for azassmant: ser 00 ws ea rou 00 aa ru or Te Cn « vo168 | eo n % nu one 8 » va | 7 ” x“ x“ nn ne a u wes | 78 7 ” non 2 2 news | 7 % Fy ae » x ” woe | 8 a @ a 2-29 % 08 8 oom 3s ” z as 107 Hom eon u 8 ® 2 Per n'® 2 8 " 6 ” 2» we ws 2 en 2 2 on no 70 2 1 in 10 2 2 @ 7 78 a 7 a 6 a7 ee » 8 ” n oa os zg ° 8 “ “ 6 20 % wont @ = se 2» 8 9 Fs re79 es £ 2 6 2 “ 8 8 4 mn 9 g eu 2 8 a u m3 ue ia 0 6 2 2 2 ® 0 2 on 8 9 2 se % 2 ne oe 2 a eo u " " 2 0 e485 1 iS uo 2 6 in as ou a 50 2 7 0 7 7 0-61 3 rs nos ‘0 “ ” 0 sn = noo 2 ” 0 6 esr 7 6 3 nos 0 ° 2 8 on 5 @ 5 8 5 56 FE eo ” : w 2 «8 ie a 8 ® ° ° 2 st 8 8 3 a 8 ” 8 ® 0 28 = 4st 8 1 0 oo = 2 9 1 2 “ 050 EB 69 5 ar 4946 2 20 ° “2 i aoa “ 0 1 6 ar € uw 6 4 = ars 2 6 ar E ” 4 2 ‘ “oa & uo 7 “ aon 1 8 7 eon Boa 1" “1 «0 ” 7 a 10 an “16 ‘eT 00 Ws va Ta m0 om Pn Tor Te Rawscree a Sere rseare —

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