Occupational Repertoire Development Measure - Parent

Dear parents, thank you for your time to take our survey. We would like to know more about your child and what we can do to help. This is a process primarily of creating opportunities, releasing potential, removing obstacles, encouraging growth and providing guidance.

We will ask questions from three aspects: Self-Care, Productivity and Leisure.

Thank you for your participation.

Demographics









































Section 1. (Q1-Q4) Self-Care

1. Grooming

Does do. Can do. Need Assistance. Can't do. No opportunity. Note

2. Toileting

Does do. Can do. Need Assistance. Can't do. No opportunity. Note

3. Dressing (Upper Body & Lower Body & Shoes)

Does do. Can do. Need Assistance. Can't do. No opportunity. Note
Does do. Can do. Need Assistance. Can't do. No opportunity. Note
Does do. Can do. Need Assistance. Can't do. No opportunity. Note

4. Feeding: Preparing Meal, Eating and Drinking

Does do. Can do. Need Assistance. Can't do. No opportunity. Note
Section 2. (Q5-Q8) Productivity

5. Household Chores

Does do. Can do. Need Assistance. Can't do. No opportunity. Note

6. Money Management

Does do. Can do. Need Assistance. Can't do. No opportunity. Note

7. Reading

Does do. Can do. Need Assistance. Can't do. No opportunity. Note

8. Writing

Does do. Can do. Need Assistance. Can't do. No opportunity. Note