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Main sections/Autism Section/ASSESSMENT FORM after Admission (female section)

SELF-CARE (1.5 – 3 years)

Does he wear diapers ?

Yes

No

Sometimes

Obesrvations

How does he ask to go to the toilet?

goes alone

speaks

uses gesture

cannot

Observations

Skills/Toilet

go to the toilet without refusal

sit down on chamber-pot or toilet seat

urinate

defecate

wait for cleaning

stand up when he finishes

Observations