02 Feb In this section, you are to report a general profile of the child’s development across the five developmental domains. Since you are to report on the child

YOUR LAST NAME: DEMOGRAPHIC INFORMATION

Section I: Demographic Information

Your name here (then change font to black)

EEX 3226

Dr. Darling

Semester/year here (then change font to black)

Child name (pseudonym)

Insert info, paragraph indented. You may choose to use a pseudonym for the child instead of using his/her real name. If you choose to use a pseudonym, please use the same one throughout the entire project.

Age

Insert info (in years and months: calculated according to the method described in class), paragraph indented. You are to calculate the age based on the date you actually observed the child/interviewed the parent.

Developmental profile

Insert info: (Use the 5 developmental domains and sub paragraph headings-subheading should be italicized), paragraph indented.

Here, you are to write a few sentences summarizing your observation of the child’s overall development. If you are unsure of what you should be reporting/observing, please review course information about children’s development. In other words, in your opinion is the child’s overall development at, above or below age and developmental expectations, why or why not?

Communication (Expressive and Receptive)

General

Insert info about the child’s development in the communication domain. Overall, how would you describe the child’s communication skills? Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Expressive

Insert info about the child’s development in expressive communication domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Receptive

Insert info about the child’s development in receptive communication domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Social Emotional

Insert info about the child’s development in this domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Self-Help/Adaptive

Insert info about the child’s development in this domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Motor

Fine

Insert info about the child’s development in this domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Gross

Insert info about the child’s development in this domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Cognitive

Insert info about the child’s development in this domain. Be sure to use specific examples to describe the child’s present level of performance, which should include strengths and weaknesses.

Family situation

Describe the salient features of the child’s family situation that are worth noting, meaning they may have an impact on the stability of the family and/or might impact the child’s development.

Other pertinent information

Identify and describe prenatal, postnatal, or other concerns of the past or present (e.g., disability/developmental) that may have an impact on the child’s developmental or educational progress.

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