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    PreferenceAssessment2013 Letter

    Uploaded by

    Florea Teodora

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PreferenceAssessment2013 Letter

    Uploaded by

    Florea Teodora
    3 views7 pages

    Original Title

    PreferenceAssessment2013 Letter (4)

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views7 pages

    PreferenceAssessment2013 Letter

    Uploaded by

    Florea Teodora

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 7

    P ce Assessment©

    Preferenc

    Name: Completeed by: Date:

    Thank you
    y for pro oviding thiss crucial info
    ormation. If
    I you needd additionall space, pleease
    feel free
    f to attach additionnal pages. Please
    P be as
    a specific as
    a possible.. If there iss a
    me brand that is imporrtant in anyy area, list that
    nam t as welll.

    Salty Snack Foods: Sweet Snack Foods:

    C
    Crunchy Sn
    nack Foodss: Smo
    ooth Snackk Foods:

    Fresh Fruit: Dried Fru


    uit:

    Created by Anne
    A Overcash, MEd for Pyramiid Educational Consultants
    C
    Updated Appril 2013
    Drinks: Candy:

    Prefers ice in drinks:  yes  no

    Chewy/Gummy Candy: Hard Candy:

    Specific color(s) or flavor(s): Specific color(s) or flavor(s):

    Candy Bars: Seasonal Candy:

    Breakfast Meats: Other Breakfast Foods:

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 2
    Cereal: Cereal Bars/Granola Bars:

    Main Course Options (lunch): Sandwiches/Spreads:

    Lunch (sides): Condiments (lunch or breakfast):

    Favorite Toys/Activities: Outside Activities:

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 3
    TV shows (or news/weather): DVDs:

    Favorite books (s) or Magazines: Video Games:

    Prefers to play these alone? yesno

    Visual (specific patterns, etc.): Auditory (specific sounds or types):

    Fine Motor Activities: Gross Motor Activities:

    Sensory Toys/Activities: Characters:

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 4
    Deep Pressure Input (where?): Light Pressure Input (where?):

    Social Games: Songs/Rhymes/Fingerplays:

    Music genre or band: Cartoon characters/Anime/Manga:

    Cosmetics or other hygiene: Crafting activities:

    Musical Instruments: Specific Apps:

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 5
    Gym equipment or activity: Sport or sporting equipment:

    Outdoor Activities: OT/PT Activities:

    Unique "stimmy" items: Plays with these how?

    Vestibular (swinging, spinning): Stickers/stamps:

    Sensory play (water, rice, etc.): Favorite people:

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 6
    Additional Information that you feel is important!

    NOTE: If you are having a difficult time identifying a variety of specific


    preferences, review these categories (adding others as well!) and spend a
    couple of days simply watching what this person does when no other tasks
    are presented. Watching what a person likes to do during down time can
    be a powerful indicator of preference!

    Copyright, 2013, Pyramid Educational Consultants. This form may be reproduced. Expanded Preference Assessment 7

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