Name Post-Exam Questionnaire 1. Were there any factors that influenced testing today? * YesNo 3. Was the same room/location used for all motor assessments? * YesNo Did all assessments occur in the same room? 4. Was the same caregiver present for all motor assessments? YesNo 5. Were rests/breaks taken throughout the testing? * YesNo 6. Is the child on medication? YesNo 7. What is the child's Muscle Tone? Tone: Upper Limbs High Low Fluctuating Normal Tone: Neck High Low Fluctuating Normal Tone: Trunk High Low Fluctuating Normal Tone: Lower Limbs High Low Fluctuating Normal
