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Therapists name___________________ Student’s name_________________________

Date__________________ Location_________________________

“What goal(s) did I work on?

“Did I get the gleam in the eye? Explain how and give examples.

Was I able to sustain interactions? Explain how and give examples.

Did I support ________________’s sensory system (Were we moving, was I giving deep
pressure?) Explain how and give examples.

Did I encourage __________________ to be intentional? Explain how and give examples.

Did I encourage ____________________ to make decisions and use ideas?” Explain how
and give examples.

How did I encourage ____________________to use different capacities (motor,


communication, ideas)? Explain how and give examples.

How did I support _____________________ to move up the developmental ladder?


Explain how and give examples.

CTC/Training/FT training sheet/1-05

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