BLUE CROSS THONG KHENG ASD DAY ACTIVITY CENTRE

FITLIGHT Documentation

Client Name: ____________________________________

NRIC/ FIN No: ___________________________________ Age: ____________
Gender: Male/ Female Race: ___________

Components Date: Date: Date: Date:

Cognition
Attention span Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts
within a - min span within a - min span within a - min span within a - min span

Planning
Shows signs of Max / mod / min prompts to Max / mod / min prompts to Max / mod / min prompts to Max / mod / min prompts to
planning/strategizing execute steps of game execute steps of game execute steps of game execute steps of game
instead of relying on
staff for help
Listening to instructions
Follows 1/ 2/ 3 step Follows 1/ 2/ 3 step Follows 1/ 2/ 3 step Follows 1/ 2/ 3 step
instructions with no / min / instructions with no / min / instructions with no / min / instructions with no / min /
mod / max prompts mod / max prompts mod / max prompts mod / max prompts

Colour recognition
Max / mod / min prompts to Max / mod / min prompts to Max / mod / min prompts to Max / mod / min prompts to
identify identify identify identify
 BLUE CROSS THONG KHENG ASD DAY ACTIVITY CENTRE

FITLIGHT Documentation

Social skill
Displays Turn-taking
during games (instead Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts
of impulsiveness,
rushing other client)
Saying positive things
to client /cheering other Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts
clients
Making eye contact
with staff (when staff Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts Max / mod / min prompts
give prompts/explain
game)
Overall coordination
Able to move
arms/body/legs Needs Max / mod / min Needs Max / mod / min Needs Max / mod / min Needs Max / mod / min
accordingly to hit physical assistance to move physical assistance to move physical assistance to move physical assistance to move
intended coloured disc body to get to intended body to get to intended body to get to intended body to get to intended
position position position position

Other comments

Coach Name/signature
 BLUE CROSS THONG KHENG ASD DAY ACTIVITY CENTRE

FITLIGHT Documentation

Max prompts: Needs

  cues/prompts 75% or more most
of time

Mod prompts: Needs

cues/prompts approximately 50-
60% most of time

Min prompts: Needs

cues/prompts 2% or less most of
time

Cues/prompts can be in terms of

verbal/visual /physical guidance