Professional Documents
Culture Documents
It aims to use
building blocks to help children with autism overcome their difficulties in initiating interactions and develop social skills.
Name of Parent:
Child’s Name:
Contact No:
Child’s Date of Birth: School Attending:
Age: Grade:
Check the following that applies to the skills your child possess:
Compliancy during tasks
Wait
Attention span during task of >20mins
Sits at table for task
Visual Spatial Abilities
Non-verbal imitation skills (actions/gestures)
Matching
Sorting
Scanning
Block imitation
Fine motor skills (putting and pulling apart Lego)
Discriminating shapes
2D (visual) imitation
Hand-eye coordination
Object discrimination
Language
Verbal imitation skills
Receptive instructions (come here, sit down, let’s go)
Receptive labelings
Verbal expressiveness (object labeling, I want)
Basic Social Skills
Turn-taking
Sharing
* BLOKKETherapy requires all prerequisite readiness skills to be checked for child to be eligible for screening.
Alternatively, for parents who seek to help their child develop readiness skills outlined below, we provide one free initial
consultation by an Applied Behavioral Analysis (ABA) Therapy Consultant to learn more on how individualized behavioral
therapy can benefit children with autism.
Lynn Li Wong
Behavioral Therapy Program Consultant
Tel: +6012-3733 910