PLAY : EVALUATION

DEPT. OCCUPATIONAL THERAPY, UFS.

ASSESSMENT OF PLAY

1. GENERAL INFORMATION

1.1.1 Child’s name: .................................................................................................................

1.1.2 Sex: Male / Female
1.1.3 Date of birth: .......... / ......... / .........
1.1.4 Chronological age: ......... years, .......... months and .......... days
1.1.5 Presenting problem(s): ...................................................................................................
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1.1.6 Informant(s): ...................................................................................................................
1.1.7 Date of assessment: .......... / ......... / .........

2. PLAY EXAMINATION (ADAPTED FROM TAKATA)

2.1 With what does the child play? Toys / materials / pets
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2.2 How does the child play with toys and other materials?
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2.3 With whom does the child play? Self / parents / brothers / sisters / peers / others
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2.4 How does the child play with others?

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2.5 How long does the child play with objects? With people?
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2.6 Where does the child play? (a) Home: indoors / outdoors. (b) Community: park /
school / church / other areas
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2.7 When does the child play? Daily schedule for weekday and weekend
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2.8 What type of play is preferred?

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2.9 What type of play is avoided or liked least?

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2.10 Were there any changes in the child’s play during the last one to three months?

Yes / No. If yes, (a) describe these changes and (b) give possible reasons for it.
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3. PLAY OBSERVATION

3.1 Assessment tool

3.1.1 Florey’s developmental classification  Complete 3.2.1

3.1.2 Preschool Play Scale (Knox)  Complete 3.2.2
3.1.3 Other  Complete 3.2.3
Name other tools used: ..................................................................................................
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3.2 Results

3.2.1 Florey’s developmental classification

Categories Types of objects Developmental age1

Parents
Mean age for
Human objects Peers human objects2
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Self
Type 1
Non-human Mean age for non-
Type 2 human objects3
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objects
Type 3

Play age4: .......... years and .......... months.

1. Score “types of objects” at the upper age of the age grouping. For example, the 6 to 12-month
level is scored as 12 months and the 30 to 36-month level is scored as 36 months.
2. (Developmental age of parents + developmental age of peers + developmental age of self) ÷ 3.
3. (Developmental age of type 1 + developmental age of type 2 + developmental age of type 3) ÷ 3.
4. (Mean age for human objects + mean age for non-human objects ) ÷ 2.

3.2.2 Preschool Play Scale (Knox)

Dimensions Factors Developmental age1

Gross motor activity Mean age for space
Space management management2
Interest ..............................
Manipulation
Construction Mean age for material
Material management management2
Purpose ..............................

Attention
Imitation Mean age for
Pretense-symbolic pretense-symbolic2
Dramatization ..............................

Type
Cooperation Mean age for
Participation participation2
Humour ..............................
Language

Play age3: .......... years and .......... months.

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1. Score “types of objects at the upper age of the age grouping. For example, the 6 to 12-month
level is scored as 12 months and the 30 to 36-month level is scored as 36 months.
2. Sum of the developmental ages of factors in each dimension ÷ number of factors in each
dimension. E.g., mean age of space management = (developmental age of gross motor activity +
developmental age of interest) ÷ 2.
3. Mean of the dimension scores.

3.2.3 Other tool(s)

Description of results: ....................................................................................................

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Important: all observation sheets must be included!

4. SUMMARY AND IMPLICATIONS

Summarized the results from the play assessment and discuss the implications thereof for
treatment.

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