FOR CLINICIAN USE ONLY Progress Monitoring Report
Child¶s name Child¶s ID Child¶s date of birth
Child Sample 09/17/2010
Report date Clinician¶s name/ID
11/21/2022
Assessment Information
1st assessment 2nd assessment 3rd assessment
Form Parent/Caregiver Checklist Parent/Caregiver Checklist
Administration date 11/21/2021 09/21/2022
Age at testing 11 years 2 months 12 years
Respondent Mom Sample Mom Sample
Relationship to child
Progress Monitoring
GROWTH SCORES
Administration Adaptive Social-
date Physical Behavior Emotional Cognitive Communication
First 11/21/2021 492 541 524 533 518
Second 09/21/2022 714 695 672 742 741
Third
First and second administrations
Difference between scores 222 154 148 209 223
Significant Yes Yes Yes Yes Yes
Second and third administrations
Difference between scores
Significant
First and third administrations
Difference between scores
Significant
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DP-4 Progress Monitoring Report Page 1 of 1 ReportID : 2509898 - 11/21/2022 [Link] PM