Let’s Play Quick Assessment Tool
The Let’s Play program is designed for children with physical disabilities who are functioning at a fairly
high cognitive level. This quick assessment tool will help to determine whether or not the child you are
working with is appropriate for the Let’s Play program and will benefit from the activities in the Let’s
Play resource. The Let’s Play program and resources are not the answer for every child with a disability
but the Let’s Play website and staff can provide guidance, referrals and support to assist teachers and
health care professionals working with children facing challenges outside the parameters of the Let’s
Play program.
Observation/Assessment Form:
Child’s Name:
Disability (if known):
Physical Limitations: (mobility, speech, vision)
Behavior Concerns:
Movement Skills
Can the Child:
Wheel forwards:
Wheel backwards :
Pivot or turn:
Toss a ball:
Catch a ball:
Physical Abilities
Does the Child have:
Some upper body strength:
Hand/Grip function:
Some trunk function:
(may be supported by strap)
Some Upper body Balance:
(may be supported by backrest)
Y
Y
Y
Y
Y
N
N
N
N
N
Communication – Expressive
Can the child express:
Likes/Dislikes:
Y N
Hunger/Thirst
Y N
Need to use bathroom: Y N
If the majority of answers are Y – the child should
be appropriate for the Let’s Play program and
may qualify for a free sport wheelchair. See Let’s
Play Sport Wheelchair Application form in this
resource. As well, the drills and activities in our
Let’s Play resource will be appropriate for the
child.
Communication – Receptive
Can the child:
Comprehend Verbal instructions:
Attend to verbal instructions:
Remember verbal instructions:
Y N
Y N
Y N
Y N
Y N
Y N
Y N