PBEC Website

SpEd Forms | AIMSweb
Overview | Autism | Communication Impairment | Early Childhood | Occupational Therapy | Physical Impairment | School Psychology | Traumatic Brain Injury | Vision / Mobility
CWC Collaborative Project | CWC IEIC | PBEC IEIC
Assistive Technology | Our Blog | Other Forms | EC Birth-3 Goals | EC 3-6 Goals
Administration | Office Staff | Consulting Teachers | Service Providers | School Psychologists
Other Forms | EC Birth-3 Goals | EC 3-6 Goals

Paul Bunyan Education Cooperative - Early Childhood

image of our sign

Three to Six Goals


       Problem Solving / Reasoning

       Discrimination / Classification

              Matching and Sorting




       Reading Readiness

       Math Readiness

       Writing Skills


A receptive Language:  Understanding Words

       Following Directions

         Expressive Vocabulary

         Communicating with Others: Verbally

         Communicating through Rhythm

         Sign Language Skills

         Speechreading Skills

         Balance / Standing

         Walking / Running


         Catching / Throwing

         Bilateral Play

         Balance Beam


         Wheel Chair Skills

Fine Motor


         Blocks / Puzzles

         Paper Activities

         Stringing Beads


Perceptual Motor: Tactile



Attachment / Adaptive Skills

         Self Identification

         Responsibility / Rules

         Social Interactions and Play

         Social Manners

         Social Language

         Personal Welfare / Safety


Self Help






         Oral Hygiene

         Nasal Hygiene





Problem Solving / Reasoning


Repeats sequence by physical movements

Names an item when shown parts

Locates pictured analogy

Points to the same item in two different settings

Tells a word that associates with another word

Places illustration in correct sequence

Puts manipulative shapes together to form same design as illustrated model

Repeats sequence of words with meaning association

Tells or draws a picture to provide a solution for a given problem

Names item(s) that would assist with a problem-solving situation

Tells as many solutions as possible for a given problem situation

Identifies missing or incongruous element of picture

Groups objects by at least two analogies


Discrimination / Classification


Matching and Sorting


Matches like items based on appearance

Matches like items based on function

Locates which out of 5 objects or pictures does not belong in same class/category

Places 3 pictures in sequence

Matches like items based on category

Places 4 pictures in sequence




Sorts 5 multiple-classed objects or pictured objects according to class/category

Names classes/categories of sorted objects

Sorts items by category

Sorts items by appearance

Sorts items by function

Makes judgments in time and speed

Makes judgments in size, length and weight

Makes judgments in distance




Identifies objects based on appearance

Identifies objects based on category

Identifies objects based on function

Selects an item based on appearance

Selects an item based on category

Selects an item based on function

Selects items that are different from a set/group

Uses tactile terms to describe properties of items

Finds the incongruous/out of place/misdirected object

Identifies an object that does not belong to a group based on one or more characteristics

Compares items by appearance

Compares items by category and function

Groups objects by two analogies




Completes task with some attention and reinforcing

Starts a task only when reminded, some prompting

Attends to task without supervision

Works in small group for 5-10 minutes

Remains on task when distractions are present

Starts task with no reminding or prompting

Attends to task without supervision for 10 minutes

Remains on task for 5 to 10 minutes when distractions are present

Works in small groups for 10-25 minutes

Completes task with little prompting

Attends to task without supervision for 15 minutes

Determines realistically when task is done


Reading Readiness


Names action when looking at a picture book

Tells story when looking at a picture book that has been read many times

Identifies missing parts of a picture storybook that has been read several times

Points to a word in a story being read

Repeats words that rhyme

Points to pictures that represent sequence of events in a story

Identifies own name when printed

Tells suitable ending to a simple story

Names capital and lower case letters when shown printed letters

Says the sound a letter makes when shown the letter

Matches (visually) identical letters in groups of different letters

Matches (visually) identical letters in groups of words

Imitates actions in the order told

Scans letters of word left to right

Reads simple 3-letter words paired with pictures

Blends letter sounds to say the word as a unit

Fills in a word when read a passage with words missing

Reads simple phrases/sentences

Answers literal comprehension questions about stores read

Answers interpretative comprehension questions about a story read


Math Readiness


Counts orally to 3

Identifies and counts quantities of one, two, three or four

Locates big and little objects in groups of 2

Sorts according to shape, size, and length

Determines which of 2 groups has more and less, nay and few

Identifies number symbols of 1-5

Counts orally to 10

Names penny, nickel, quarter, and dime

Constructs set of objects

Locates first, middle, and last in groups of objects

Matches coins

Selects long, longer, longest from group of objects

Identifies and counts quantities of at least 6

Locates big, bigger, biggest and small, smaller, smallest in groups of objects

Locates object of given number in group of 10

Matches groups having equal numbers of objects up to 10

Reads and writes numerals to 5

Counts orally to 20

Names days of week in succession

Relates “today”, “tomorrow,” “yesterday” to days of the week

Arranges objects in order of size from smallest to largest

Finds group having more, less, same number of objects as given group up to 10

Reads hour and half-hour time

Matches time with daily activities

Adds 1/s and 2’s in a story format

Subtracts 1/s in a story format

Subtracts 1’s in a story format

Reads numerals on clock face and associates time with routine activity

Identifies what number comes before and after a given number, or between 2 numbers

Reads and writes numerals to 19

Names numbers that represent more than and less than

Counts orally to 100

Reads and writes numerals to 49

Locates day of week on calendar


Writing Skills


Draws circle, imitating adult

Holds pencil/crayon using a 3-finger grasp to draw

Draws square, imitating adult

Colors within the lines of a circle

Draws a geometric design from a pattern

Draws a triangle, imitating adult

Traces own name

Draws line between 2 parallel lines

Draws diamond, imitating adult

Draws recognizable face with eyes, nose, mouth

Prints own first or last name, copying model

Prints letters and numbers, copying model

Prints simple words, copying models

Colors within heavy outlines/within faint outlines

Prints own first name without a model

Prints numbers and letters without model

Prints all letters of alphabet, all numbers 0-9 correctly without models

Prints simple words without model




A receptive Language:  Understanding Words


Names sounds heard in the immediate environment

Performs appropriate action when self pronouns (me, my, mine) are used

Responds correctly and non-verbally to a state question

Points to or places an object in/out, under/over, top/bottom

Points to or places object up, down

Identifies sounds, words just spoken

Identifies loud and soft sounds

Provides objects as they are requested

Points to objects in a picture that depict action being stated

Correctly answers questions concerning a message just spoken

Sequences a 3-picture story that has been read

Carries out 3 simple related successive commands in order

Categorizes sounds

Repeats simple words in the order presented

Points to common objects according to function based on verbal cues

Identifies words that rhyme

Locates left and right

Answers specific questions based on spoken material

Points to or places object before, after, above, below based on verbal cues

Repeats what happened in story previously read by another

Points to or places object by, beside, behind

Points to or places object in front, in back, around, through based on verbal cues

Names main idea after listening to a story

Rephrases others’ comments in a discussion

Distinguishes between spoken messages differing in tone

Identifies differences in unlike speech sounds, m, g, t, p, when in isolation

Identifies differences in similar speech sounds, f, s, th, when in isolation

Identifies where sound differences occur in words

Chooses previously specified details from spoken material

Makes facial expressions appropriate to spoken material

Identifies order of sounds in word

Responds verbally and non-verbally to questions concerning abstracts and factual concepts

Identifies initial sounds of words

Identifies initial and final sounds of words

Repeats story just heard maintaining original sequence

Repeats poem just spoken

Chooses main ideas from spoken material


Following Directions


Carries out 2 simple unrelated successive commands in order

Carries out simple one-part commands that denote difference in sensory qualities

Carries out 4 simple related successive commands in order

Acts out commands given


Expressive Vocabulary


Uses noun plurals, Uses verb plurals

Uses noun with article

Uses noun with possessive

Uses verb with noun (see dog, push wagon)

Uses pronouns appropriately (hm, he, his, her, she)

Combines an article and an adjective with a noun to form 3-word noun phrase

Carries on a conversation

Uses past tense by adding “ed” to verb

Uses pivot verb “is” to form kernel sentences

Combines noun phrase and verb phrase to form kernel sentences

Asks questions using “is” and “have” forms

Asks questions using “wh”

Uses predicate phrases wit noun phrases

Uses verb with noun phrase

Describes action in a picture using the present tense

Uses noun with demonstrative (this dog, that car)

Uses negatives in sentences.  Uses contractions

Uses conjunctions in sentences

Uses infinitive verb forms in sentences

Uses auxiliary verbs “am,”, “is,” “are” with present participle

Uses past participle to form past tense

Uses verb “have” to form past tense

Uses “will” to form future tense

Describes events of past and future experience in logical, sequential order

Uses compound sentences with more than one main clause


Communicating with Others: Verbally


Describes an action using a verb

Names a real object or one that is in a picture

Imitate sounds, words, or phrases

Imitates common syllables (da, ka, wa)

Says a favorite rhyme

Names common objects and actions

Uses four to six words in a sentence

Speaks with inflection when describing an event or action

Uses timed events appropriately when explaining a happening

States the characteristics and attributes of an object or a place

Describes attributes of objects or items in picture

Uses multi-word simple sentences

Describes the outcome of a sequence of actions

Uses sentences that express logical relations between concepts

Names an object’s parts and gives the function of the object

Answers questions about a story

Describes parts of a movie, TV show, live event or other audio-visual presentations


Communicating through Rhythm


Sings parts and phrases of familiar songs

Moves body to music

Claps to music

Taps to the music

Marches to music

Plays on rhythm instruments

Marches in time to the music

Claps to beat of familiar songs or to speech patterns

Makes hand/foot rhythmic movements

Participates in singing songs with group

Sings and does actions with songs

Shifts body rhythm when music tempo changes

Plays simple rhythmic patterns

Identifies high and low pitches

Sings or dances to different songs

Sings two different pitches

Matches notes or tones

Improvises body movements to follow tempo-rhythm

Sings whole songs by rote

Plays rhythm instruments in various rhythm patterns


Sign Language Skills


Watches face and body of speaker to get clues as to meaning signed communication

Responds to single signs pertaining to own wants or needs when signed by another

Imitates single signs expressing own wants or needs when signed by another

Produces single signs expressing own wants without a model

Responds to sign for own name when signed by another

Uses 1 sign for many related things or for similarly formed signs

Uses face and body to give clues to meaning of signs

Smiles/frowns for clue to meaning of signed communication

Uses hands, arms, feet, shoulders to add expression of signs

Imitates sign for own name when signed by another

Uses speed and vigor of signing to express haste, fear, anger

Imitates signs for siblings, etc. when signed by another

Produces signs for own name without a model

Points to 5 familiar objects when shown their signs by another

Imitates signs for 5 familiar objects when signed by another

Pairs siblings, classmates, friends, with their signs when shown their signs by another

Produces signs for 5 familiar objects without a model

Points to 10 familiar objects when shown their signs by another

Reads and signs 2 word phrases

Produces sign for siblings, etc., without a model

Imitates signs for 10 familiar objects when signed by another

Produces signs for 10 familiar objects without a model

Pairs 10 adjective signs signed by another with appropriate objects

Produces 10 adjective signs without a model

Pairs 10 action verbs signed by another with appropriate actions

Produces signs for 10 action verbs without a model


Speechreading Skills


Reads own name on lips when paired with clues

Reads own name on lips with no clues

Locates orally requested object when identical object is offered as clue

Imitates action, requested orally, when shown action as clue

Locates orally requested object when picture offered as clue

Imitates action, requested orally when picture offered as clue

Locates orally requested object when outline of object is offered as clue

Imitates action, requested orally, when silhouette of action is offered as clue

Locates orally requested object with no visual clues

Imitates action, requested orally, with no visual clues

Points to orally described object when given pictures of object

Points to orally described object when physical gestures are given as clues

Points to orally described object when tactile clues are given

Points to orally described object when facial expressions are given as clues


Balance / Standing


Stands first on one foot and then on the other foot

Balances on one leg with hands on hips

Stands on tiptoe for 10 seconds

Kicks a stationary ball using a 2-step start

Kicks a large ball when the3 ball has been rolled into direct path

Stands up after lying on back without losing balance


Walking / Running


Walks 10 feet pushing and pulling a wagon-type object

Walks down stairs using alternate feet without holding railing

Walks 20-foot diameter circle staying on path

Runs and changes direction without stopping

Runs a 20-foot distance, breaking stride/rhythm

Walks 10 feet carrying object blocking view of floor

Gallops forward

Walks down stairs carrying an object

Runs through obstacle course avoiding objects




Jumps up at least 12 inches landing on both feet

Jumps from bottom step (12 inches high), feet together

Jumps forward 2-foot distance, feet together

Step-hops for five feet

Hopes forward ten feet on either foot without assistance

Skips forward


Catching / Throwing


Catches a large ball thrown from 5 feet using hands/arms

Bounces and catches a large ball

Throws a ball ten feet overhand


Bilateral Play


Rides tricycle with pedals to maneuver around obstacles, turn, stop and start

Performs a complete forward roll (somersault)

Maintains momentum on swing

Hangs from bar using overhand grip

Maintains balance on a movable platform (balance disc, et.)

Completes a backward roll (somersault)

Lifts torso from ground to complete one sit-up

Lifts body off the floor to complete one push-up


Balance Beam


Walks forward between two parallel lines for 15 feet

Walks 10 feet on 4-inch wide line

Walks 4 feet on 4-inch wide beam without stepping off




Sits on steps of pool and kicks in water

Allows self to be carried about in water

Stands in water up to waist

Blows bubbles in water

Walks across width of pool with help

Walks across width of pool unassisted

Puts face in water

Enters and exits pool safely

Bobs in and out of water 5 times, holding breath

Ducks head underwater, holding breath for 10 seconds

Opens eyes underwater

Retrieves object underwater

Bobs in and out of water 5 times, breathing rhythmically

Performs jelly-fish float. Recovers to standing position

Performs turtle float and recovers

Performs dog paddle

Performs front float

Performs back float

Recovers to standing position from front and back floats

Performs front glide from 2 feet, 5 feet

Performs front glide with flutter kick for 2 feet, 5 feet

Performs back glide for 2 feet, 5 feet

Performs back glide with flutter kick for 2 feet, 5 feet

Jumps into water from deck with legs apart so head does not become submerged

Jumps into water from deck with legs together, pushes off bottom and glides

Performs front glide with kick and stroke


Wheel Chair Skills


Stops wheelchair in any manner

Moves wheelchair forward using 1 push forward and release

Moves wheelchair backward using 1 pull back and release

Turns wheelchair in a circle to the right

Turns wheelchair in a circle to the left

Sets brake on wheelchair to stop or remain stationary

Releases brake on wheelchair to resume movement

Travels forward 1 feet in wheelchair

Travels backward 10 feet in wheelchair

Travels length of classroom in wheelchair

Travels length of classroom in wheelchair in one minute

Travels using wheelchair in roomy areas to go forward, backward, and to turn at will

Travels using wheelchair in compact areas to go forward, backward, and to turn at will

Travels forward through doorway

Travels backward through doorway

Opens door, travels through doorway, and closes door

Places foot rests in down position

Places foot on rest

Takes foot off rest and places foot rests in up position

Transfers from wheelchair

Follows safety rules using wheelchair


Fine Motor




Places small pegs in holes on board

Draws a square following a model

Matches 6 or more colors

Completes a picture of a stick person

Draws a diagonal line and a zigzag line following models

Traces around own hand

Makes fine visual discriminations, matches letters that look very similar

Draws a picture of at least three objects

Identifies look-alike words correctly


Blocks / Puzzles


Puts together simple puzzles

Makes a bridge with 3 blocks

Builds tower of more than 9 blocks without assistance

Reproduces a two-dimensional block design

Puts together complex/interlocking puzzle

Builds 5-block bridge

Reproduces previously viewed block pattern correctly


Paper Activities


Folds paper three times

Spreads paste on one side of paper and turns over to stick it to another paper


Stringing Beads


Strings small beads, cubes, cylinders based on a simple shape patter

Strings small beads reproducing color and shape sequence/pattern




Cuts across paper following curved line/circle

Cuts out small square/triangle with scissors

Cuts out pictures following general shape

Cuts cloth/other material with scissors

Cuts out complex pictures following outlines


Perceptual Motor: Tactile


Matches or chooses through tactile cues like objects:  hot/cold; wet/dry

Matches or chooses through tactile cues like objects that are rough and smooth

Matches or chooses through tactile cues like objects that are sticky and nonsticky

Matches or chooses through tactile cues like objects that are long and short

Matches or chooses through tactile cues like objects that are hard and soft

Matches or chooses through tactile cues like objects that are thin and fat

Matches or chooses through tactile cues like objects that are circular, triangular and rectangular

Matches or chooses through tactile cues like objects that are light and heavy

Identifies objects through the sense of touch




Attachment / Adaptive Skills


Plays with another child

Transfers from one activity to the next

Performs or attempts new activity

Performs new activities voluntarily

Tries again when a change or disappointment occurs

Follows directions and obeys an authority figure

Remains calm in changing/disappointing situation

Performs activities in presence of or when led by new person

Accepts an altered routine when requested

Independently tries out new activities

Creates own activities

Plays group games following rules

Adjusts behavior to fit rules and routines of different situations


Self Identification


Tells own age

Names a pet or a friend

Names siblings

Categorizes children/adults in correct sex group

Tells name of city in address

Tells month of birth

Tells street name and town in address

Tells father’s and mother’s first and last names

Recites telephone number

Tells house number, street, and town

Locates self in relation to other objects

Indicates the right and left hand of others

Tells month and day of birth

Indicates own right and left hands

Uses left and right to direct others in concrete situation

Tells birthplace by state and town


Responsibility / Rules


Sits quietly when listening to stories, music, television, movies

Quiets down after active period

Claims ownership of own possessions

Sits without moving when involved in an activity

Behaves according to desires of others

Performs assigned task

Returns objects or materials to their assigned/appropriate place

Quiets down after active period and waits for instructions

Volunteers for tasks

Cooperates with request for quiet

Conforms to group decisions

Treats other’s property with respect

Sits in seat, stands in a line without excess moving during an activity

Performs undesirable task when changed to be viewed as desirable

Follows defined rules whether or not an authority figure is present

Acts upon helpful criticism presented by authority

Leaves provoking situation

Sacrifices immediate desires for delayed reward

Displays behavior appropriate for the situation/place

Acts according to social rules in work and play situations

Controls temper well, verbalizes feelings in appropriate manner

Makes own decision concerning activities with minimal adult supervision

Accepts friendly teasing

Plays and works without disrupting work of others


Social Interactions and Play


Plays with one or two others

Exchanges items for play

Cooperates during play time

Plays with an adult

Responds to and makes verbal greetings

Looks at person when speaking

Remains calm if goals cannot be reached

Shares toys/equipment with another

Shows independence from adult

Stays with group during activity

Takes turns

Assists with simple adult tasks

Comes to an activity when asked by a responsible person

Waits for turn at least two times

Plays with group of 3 or more

Shares toys with other children

Verbalizes feelings to another prior to physical expression

Asks for assistance when needed

Obeys rules

Plays simple game according to rules

Participates in cooperative play

Comforts playmates in distress

Bargains with other children

Demonstrates respect for property

Displays good sportsmanship, win or lose

Expresses feelings in controlled manner

Waits for attention in group situation

Apologizes when reminded

Plays simple competitive table games

Contributes to ideas of group

Explains outcomes/consequences of not following rules

Maintains silence when appropriate

Offers help to others voluntarily

Plays difficult games requiring knowledge of rules

Behaves in a courteous manner to others


Social Manners


Requests aid for spills

Eats most foods in a tidy manner

Cleans up spills

Passes food/drink on request

Requests food/drink be passed at the table

Uses napkin to wipe hands, mouth during and after meal

Keeps napkin in lap

Eats items of a meal in an acceptable order

Makes appropriate request for food items in public

Waits until designated time to leave table

Chews and swallows to empty mouth before speaking

Takes dirty dishes to designated area

Chews and swallows quietly with lips closed


Social Language


Responds to simple questions

Speaks clearly without mumbling

Says “Thank You” when appropriate.  Says “Please” with requests

Says “Hello” and “Good-Bye” at correct times

Laughs at appropriate times

Uses correct words to request an object

Participates in conversation/discussion

Uses appropriate pitch/volume when speaking

Stays on topic during a conversation

Remains quiet when others are talking

Maintains appropriate distance when talking to another

Says “Excuse Me” appropriately

Waits to be acknowledged before speaking

Answers telephone and cries on simple conversation

Initiates topics in conversation appropriate for the situation

Pauses to allow others to speak

Uses appropriate/non-vulgar language


Personal Welfare / Safety


Avoids hazard (fire) and common dangers

Practices safe procedures when riding in a car

Identifies dangerous situations/objects verbally or with gestures

Keeps safe distance from matches, stove, and open flame

Uses basic playground equipment safely

Avoids or maintains distance from dangerous situations/objects

Tells or gestures to adult about any danger/injury

Recites emergency telephone number and when to use it (911)

Remains in designated play areas

Stays with the group and refrains from following unknown people

Refuses ride and/or gifts presented by stranger

Identifies fire drill signal and follows teacher’s directions during the fire drill

Understands and practices good safety procedures when boarding a bus, riding on a bus and leaving a bus

Looks both ways before crossing a street/road in which there is no traffic light and may or may not have a stop sign

Recognizes items described as dangerous

Handles sharp objects carefully

Follows rules during fire drill without adult help

Walks on sidewalk, doesn’t go into street

Understands the dangers of streets/roads and moving vehicles

Reads and follows directions on safety signs


Self Help




Pulls pants up completely from floor to waist

Obtains specified clothing and puts on without being told

Puts hands through both armholes of front-opening clothing

Pushes arm into second sleeve and pulls clothing to shoulders

Puts on 5-shirt with front/back in correct position

Puts sock on completely

Puts shoe on completely

Puts shoes on correct feet

Pulls sock up from sole to ankle

Puts shoe on over sole and toes

Closes 2 of 3 front snaps

Puts on clothing in the correct front and back position

Tightens show laces with a vertical and horizontal pull

Tucks in or straightens front-opening clothing

Buttons front-opening clothing

Dresses independently when asked

Dresses daily at designated times, without being reminded

Zips up front-opening clothing

Ties shoes, following step-by-step demonstration

Selects and uses appropriate protective clothing per weather/settings

Put laces in shoes and laces correctly

Selects clean clothing, changes underclothes regularly

Tie laces into a bow knot




Pulls shoes off completely, including undoing laces, straps and buckles

Unzips and unsnaps clothing

Places outer-wear clothing in assigned location

Pulls off front-opening clothing over wrist, forearm and elbow with assistance

Pulls pants down from waist to feet

Pulls off front-opening clothing over shoulder, back and arms with assistance

Removes pull-over clothing off both arms and starts over head

Pulls pants down from waist, then hips and over feet

Takes pull-over clothing off completely

Takes front-opening clothing off completely

Unbuttons clothing

Undresses daily at designated times without being reminded

Opens all fasteners

Places a front opening garment on a hanger and hangs it up

Turns clothing right side out




Swallows food in mouth before taking another bite

Picks up and directs food on spoon into mouth, some spilling

Eats holding fork, some spilling

Directs spoon/fork into mouth without spilling

Serves self at table, pouring and scooping with no spilling

Prepares simple foods for eating

Eats different types of foods

Puts proper amount of food in mouth and chews with lips closed

Opens container and removes foods

Dishes out food when presented with bowl/plate containing food for sharing

Spreads with a knife

Cuts with a knife

Cuts with knife and fork




Cleans up spilled liquid

Drinks from water fountain when turned on by adult

Refills glass from a container holding less than a glass

Sucks liquid through a straw while holding container with one hand

Drinks from water fountain without aid of adult

Carries liquid in open container, with spilling

Assists in washing body when bathed by an adult

Assists in drying body when finished with bath

Turns water off when requested/on own

Puts comb/brush in hair

Hangs/disposes town after using

Allows hair to be washed

Washes and dries hands without assistance

Dries face with towel when requested/on own

Applies soap to cloth

Washes and rinses body areas

Runs comb/brush through hair

Adjusts water temperature to warm when shown by an adult

Uses town to dry body after washing

Washes face and ears while in bath/shower

Washes face with soap when requested/on own

Assists while another washes hair

Washes own hair using fingers to rub/massage scalp

Uses paper towel from dispenser or cloth towel to dry hands in new situation




Indicates by words or gestures a need to go to the toilet

Goes to toilet at regular intervals without asking

Tears toilet tissue appropriately and flushes toilet after use

Goes to toilet when necessary with infrequent accidents

Wipes self after toileting

Goes to toilet properly by self with no accidents

Remembers to wash and dry hands after using the toilet

Adjusts clothing before leaving bathroom

Asks location of bathroom in new situation

Identifies the correct restroom to use by recognizing the sex sign in a new setting


Oral Hygiene


Puts toothpaste on brush and wets

Brushes teeth with horizontal and vertical motion

Spits toothpaste out

Rinses toothbrush

Wipes mouth and hands dry after brushing

Returns toothbrush, past to designated container/location

Replaces top on toothpaste

Flosses teeth

Uses proper brushing strokes

Brushes after meals or at designated times


Nasal Hygiene


Wipes around nose using tissue if reminded

Blows into tissue with some assistance

Pinches tissue off end of nose

Blows into tissue independently on request

Disposes of tissue

Covers mouth with tissue or hands when sneezing or coughing

Blows nose independently

©2007 Paul Bunyan Education Cooperative