Self Management Basic Communication Dressing Toileting

SM1 2 BC1 2 DR1 2 TL1

SM2 2 BC2 2 DR2 2 TL2
SM3 1 BC3 2 DR3 2 TL3
SM4 1 BC4 2 DR4 2 TL4
SM5 2 BC5 2 DR5 2 TL5
SM6 2 BC6 2 DR6 2 TL6
SM7 1 BC7 2 DR7 2 TL7
SM8 2 BC8 2 DR8 2 TL8
SM9 2 BC9 2 DR9 2 TL9
SM10 2 BC10 2 DR10 2 TL10
SM11 2 BC11 2 DR11 2 TL11
SM12 2 BC12 2 DR12 2 TL12
SM13 2 BC13 2 DR13 2 TL13
SM14 2 BC14 2 DR14 2 TL14
SM15 2 BC15 2 DR15 2 TL15
SM16 2 BC16 2 DR16 2 TL16
SM17 2 BC17 2 DR17 2 TL17
SM18 2 BC18 2 DR18 2 TL18
SM19 2 BC19 2 DR19 2 TL19
SM20 2 BC20 2 DR20 2 TL20
SM21 2 BC21 2 DR21 2 TL21
SM22 2 BC22 2 DR22 2 TL22
SM23 2 44 DR23 2 TL23
SM24 1 DR24 2 TL24
SM25 1 DR25 2 TL25
45 DR26 2 TL26
DR27 2 TL27
DR28 2 TL28
DR29 2 TL29
DR30 2 TL30
DR31 2 TL31
DR32 2 TL32
DR33 2 TL33
DR34 2 TL34
DR35 2 TL35
DR36 2 TL36
DR37 2 TL37
74 TL38
TL39
TL40
TL41
Toileting Grooming Bathing Health, Safety and First Aid Nighttime Routine
2 GR 1 2 BT1 1 HS1 2 NR1
2 GR 2 2 BT2 2 HS2 2 NR2
2 GR 3 2 BT3 2 HS3 2 NR3
2 GR 4 2 BT4 2 HS4 2 NR4
2 GR 5 2 BT5 1 HS5 2 NR5
2 GR 6 2 BT6 2 HS6 2 NR6
2 GR 7 2 BT7 2 HS7 2 NR7
2 GR 8 2 BT8 2 HS8 2 NR8
2 GR 9 2 BT9 2 HS9 2 NR9
2 GR 10 2 BT10 2 HS10 2 NR10
2 GR 11 2 BT11 2 HS11 2 NR11
2 GR 12 2 BT12 2 HS12 2 NR12
2 GR 13 2 BT13 2 HS13 2 NR13
2 GR 14 2 24 HS14 2 NR14
2 GR 15 2 HS15 2
2 GR 16 2 HS16 2
2 GR 17 2 HS17 2
2 GR 18 2 HS18 2
2 GR 19 2 HS19 2
2 GR 20 2 HS20 2
2 GR 21 2 HS21 2
2 GR 22 2 HS22 2
2 GR 23 0 HS23 2
2 GR 24 0 HS24 2
2 GR 25 0 HS25 1
2 GR 26 0 HS26 1
2 GR 27 0 HS27 1
2 GR 28 0 HS28 1
2 GR 29 0 HS29 1
2 GR 30 0 HS30 1
2 GR 31 0 54
2 GR 32 0
2 GR 33 0
2 GR 34 0
2 44
2
2
2
2
2
2
82
Nighttime Routine Client: Alan Arreola Castro
1 Date Assessed: 1/11/2024
1
1
1
1
1
1
1 Skill Not Acquired
1 Emerging
1 Proficent
1 NA
1 Indicates Score out of 4
1
1
14
Score Client Score 12/22/2023 Total Possible
Self Management 45 58
Basic Communication 44 86
Dressing 74 120
Toileting 82 84
Grooming 44 120
Bathing 24 38
Health and Safety 54 98
Nightime Routines 14 34
Precentile
7700%
51
61
97
36
63
55
41