At Any Age

• Child does not play or show interest in age-appropriate toys

• Lack of motor skill development is interfering with child’s participation in age-appropriate sports or games

• Any regression of fine motor skills, activities of daily living, or ability to sustain attention.

• Under or over-sensitive to touch, becomes upset, resists wearing certain types of clothing

• Child has difficulty learning and performing unfamiliar motor tasks and appears awkward in his movements

• Frustrates easily when change happens, or has difficulty with transitions

• Impulsive, uses poor safety and judgment, accident-prone

• Difficulty maintaining attention due to high/low energy level

• Inability to transition to different textured foods

• Poor chewing skills

Under 1 Year

• Disinterest in reaching and grasping for toys after 3 months

• Delay in developmental activities or milestones such as rolling, sitting crawling, pulling to stand

2-3 Years

• Not using pincer grasp (grasp between thumb and first finger) to pick up small objects or foods or isolating first finger for pointing

• Not reaching across midline of body

• Delay or disinterest in using crayons, pencil, or utensils

• Requires help to take off clothes, socks, and shoes after 21⁄2 years

• Not attempting to self feed with utensils

3-5 Years

• Difficulty engaging with peers or avoids social play

• Immature grasp on a pencil or crayon

• Is not toilet trained, including handwashing by 4 years

• Unable to copy lines and circles

• Unable to operate scissors

5-8 Years

• Difficulty manipulating fasteners (button, zip, or snap)

• Inability to dress self

• No established hand dominance

• Difficulty coloring, drawing pictures, or cutting by 6 years

• Difficulty moving on playground equipment

• Unable to complete 2-3 step directions

• Inability to tie shoes by 7 years

• Child has poor/illegible handwriting or reverses letters after 7 years

• Inability to bath self completely (including hair)/brush teeth by 8

8+ Years

• Difficulty pouring water from a jug into a glass without spilling

• Difficulty cutting food with a knife

• Avoids activities that challenge balance

• Unable to perform work taking between 10-30 minutes

• Poor or illegible handwriting

• Difficulty completing mazes, dot-to-dots, or copying designs