Promoting Communication Strategies: Self-Check Following

Promoting Communication Strategies: Self-Check
Following the Child’s Lead/Responsiveness
Fill out the form based on how often you used the strategies during each routine this week.
Date:
Child:
Parent:
Home Visitor:
Followed Child’ Lead/Responsiveness
Noticed and followed child’s interest, play, talk
Play
Dressing &
Toileting
Outings
Reading
Mealtime
Other
Not Used
Not Used
Not Used
Not Used
Not Used
Not Used
Rarely Used
Rarely Used
Rarely Used
Rarely Used
Rarely Used
Rarely Used
Sometimes
Used
Sometimes
Used
Sometimes
Used
Sometimes
Used
Sometimes
Used
Sometimes
Used
Often Used
Often Used
Often Used
Often Used
Often Used
Often Used
Target Outcomes:
Notes:
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