The following questionnaire contains statements about different abilities. Please read each statement carefully and mark yes or no best describing the degree you believe this person can do the skill. If you are unsure or if not consistent, then check no. If the item doesn’t seem to apply to the person, put an NA in the comment box. If you believe that the item is especially critical for this person to develop, please make a note in the comment box.
If you would like feedback for your answers in the last box please put your name,email, and that you are interested in some feedback and we will return your email! For more in depth review you can also complete the Core deficits questionnaire.