NAME______________________ DATE_______________

SKILL: GROSS MOTOR SKILLS

M=MASTERED SKILL S=STILL WORKING ON SKILL
N=NEEDS ATTENTION
NA=SKILL NOT APPLICABLE FOR THEIR AGE

1) CAN HOP ON ONE FOOT______

2) CAN THROW A BALL______

3) CAN CATCH A BALL______

4) CAN SKIP ______

5) CAN GALLOP______

6) CAN CLIMB WITH EASE______

7) RUNS & PLAYS WITH EASE______

8) CAN WALK ON BALANCE BEAM______

9) CAN HOP WITH TWO FEET TOGETHER______

10) CAN SWING A SWING BY ONESELF______

11) CAN WALK TIPPY TOE______

PARENT SIGNATURE____________________________


© 2002-2004 The Daycare Resource Connection. All Rights Reserved. www.daycareresource.com
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NAME______________________ DATE_______________

SKILL: GROSS MOTOR SKILLS

M=MASTERED SKILL S=STILL WORKING ON SKILL
N=NEEDS ATTENTION
NA=SKILL NOT APPLICABLE FOR THEIR AGE

1) CAN HOP ON ONE FOOT______

2) CAN THROW A BALL______

3) CAN CATCH A BALL______

4) CAN SKIP ______

5) CAN GALLOP______

6) CAN CLIMB WITH EASE______

7) RUNS & PLAYS WITH EASE______

8) CAN WALK ON BALANCE BEAM______

9) CAN HOP WITH TWO FEET TOGETHER______

10) CAN SWING A SWING BY ONESELF______

11) CAN WALK TIPPY TOE______

PARENT SIGNATURE____________________________


© 2002-2004 The Daycare Resource Connection. All Rights Reserved. www.daycareresource.com