Physical & Occupational Therapy Checklist

What are signs that my child may need Occupational Therapy?

Signs that your child may need occupational therapy services would include difficulties performing certain tasks by certain ages. Here is a simple chart to help determine if your child’s skills are developmentally appropriate.

6 Months

Holds food with their hand and brings it to mouth
Transfers objects from hand to hand
Rolls from place to place
Begins to sit independently, mostly uses their hands to prop them up

7-9 Months

Releases objects
Points and is developing finger pinching skills
Changes positions between sitting and standing with support
Crawls on hands and knees
Pulls to stand and cruises along furniture

6 Months

Holds food with their hand and brings it to mouth
Transfers objects from hand to hand
Rolls from place to place
Begins to sit independently, mostly uses their hands to prop them up

7-9 Months

Releases objects
Points and is developing finger pinching skills
Changes positions between sitting and standing with support
Crawls on hands and knees
Pulls to stand and cruises along furniture

18-24 Months

Completes 4-5 piece puzzle
Builds towers of 4 blocks
Holds crayons in fingertips and draws straight or circular strokes
Strings beads
Kicks ball forward
Throws ball at a large target
Jumps with both feet

24-36 Months

Snips with scissors
Imitates horizontal, vertical, and circular marks on paper
Builds towers and lines up objects
Rides tricycle
Catches a large ball against chest
Begins to hop on one foot

3-4 Years

Uses three fingers to grasp pencil or crayon
Colors within lines
Copies simple shapes; begins to copy letters
Uses scissors to cut simple shapes
Draws a face
Begins to skip and hop
Skilled in jumping, climbing and running

4-5 Years

Draws with dexterity, using a dynamic tripod grasp
Completes puzzles of up to 10 pieces
Uses scissors to cut out squares and other simple shapes
Color within the lines
Copies own name and some letters
Throws a ball
Hops for long sequences
Climbs on playground equipment

5-6 Years

Prints name, copies letters, copies a triangle, begins upper and lowercase letters
Constructs a complex building
Completes puzzles of up to 20 pieces
Hops well for long distances
Skips with good balance
Kicks with accuracy

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