will maintain cleanliness/hygiene with/without assistance with _____ percent/frequency as measured by _________________.
1 Identify throughout the day/week when grooming activities need to be done.
2 Complete grooming activities as needed.
3 Wash and dry hands after toileting or when soiled.
4 Wipe/blow nose and dispose of tissue.
5 Manage saliva appropriately (drooling, spitting).
6 Brush/comb hair.
7 Wash hair.
8 Bathe frequently and use a deodorant.
9 Shower after physical activity or as needed.
10 Check appearance in mirror several times daily and make corrections to clothing or grooming as needed.
11 Wash face and hands as needed.
12 Apply make-up and skin care products.
13 Brush and maintain teeth.
14 Clean and care for nails.
15 Use an electric razor.
16 Maintain dental appliance.
17 Care for self during menstruation.
will wash and dry hands thoroughly at a _________ level with ______ percent frequency as measured by ____________.
1 Identify when hands need to be washed.
2 Turn on/off faucet.
3 Wet hands.
4 Use soap dispenser or bar of soap and form lather.
5 Wash palms and backs of hands.
6 Rinse hands.
7 Dry hands.
8 Throw away paper towel/hang up towel.
will wash face appropriately with/without assistance at a _________ level with _____ percent frequency as measured by _____________.
1 identify when face needs to be washed.
2 Turn on/off faucet.
3 Wet face.
4 Rub to form a lather.
5 Apply soap to cheeks, nose, chin, forehead.
6 Rinse face.
7 Dry face.
8 Throw away paper towel or hang up towel.
will blow and wipe nose as needed at _________ percent frequency as measured by ____________.
1 Identify when nose needs to be wiped and or blown.
2 Get tissue.
3 Blow nose, holding tissue around it.
4 Squeeze tissue together under nostrils to remove nasal discharge.
5 Throw tissue in trash.
will clean and care for nails appropriately at _________ percent frequency as measured by _________.
1 Identify when nails need cleaning/cutting/filing.
2 Clean nails.
3 Use nail scissors appropriately.
4 Use nail clippers.
5 Use nail file.
6 Apply nail polish.
7 Remove nail polish.
will comb/brush hair appropriately at ______ percent frequency as measured by __________.
1 Identify when hair needs to be combed/brushed.
2 Get comb/brush.
3 Look at self in mirror.
4 Place comb where part starts.
5 Pull comb toward face to make pad.
6 Separate hair on each side of part.
7 Comb/brush back hair starting at crown.
8 Comb/brush sides.
9 Comb/brush bangs.
10 Accessorize hair.
11 Put comb/brush away.
will wash hair appropriately with/without assistance for _______ out of ____ opportunities as measured by ___________.
1 Identify when hair needs washing.
2 Get appropriate materials.
3 Wet hair.
4 Apply appropriate amount of shampoo.
5 Work shampoo through hair.
6 Rinse hair.
7 Apply conditioner.
8 Dry hair with towel.
9 Dry hair with blow dryer.
10 Style hair.
will brush and maintain teeth appropriately at ___ level with _____ percent/frequency as measured by __________.
1 Turn on water and wet brush.
2 Open tooth paste and put appropriate amount on brush.
3 Close the tooth paste tube.
4 Brush front teeth.
5 Brush left/right outside top and bottom teeth.
6 Brush left/right inside top and bottom teeth.
7 Spit into sink.
8 Rinse mouth and spit into sink.
9 Rinse tooth brush.
10 Put items away in appropriate place.
11 Use dental floss.
12 Use mouthwash as appropriate.
will control/manage drooling to an appropriate level _____ out of ____ opportunities as measured by __________.
1 Identity when drooling occurs.
2 Swallow when drooling begins.
3 Wipe drool with wristband/bandanna/handkerchief.
4 Wipe drool with bandanna around neck.
5 Wipe drool with handkerchief.
6 Identify when wristband/bandanna/handkerchief is too wet.
7 Change wristband/bandanna/handkerchief.
8 Put wristband/bandanna/hankerchief in ziplock bag/backpack.
will use deodorant as needed at ______ level at _____ criteria as measured by ___________.
1 State frequency that deodorant Is needed.
2 Get deodorant as part of morning routine.
3 Open deodorant.
4 Apply deodorant.
5 Close deodorant.
6 Put deodorant away.
will apply makeup appropriately at _____ level at ____ criteria as measured by ____________.
1 Apply lipstick.
2 Apply mascara.
3 Apply eyeliner.
4 Apply eye shadow.
5 Apply blusher.
6 Apply nail polish.
will apply skin-care products as needed at ______ level at ______ criteria as measured by ____________.
1 Identify when skin care treatment needed.
2 Select appropriate skin care product.
3 Apply hand lotion.
4 Apply sun block.
5 Apply chapstick.
6 Apply body/facial lotion.
7 Apply blackhead/pimple cream.
will use an electric razor appropriately and will shave face completely on ______ consecutive probes.
1 Take off safety lid.
2 Place plug in razor.
3 Place cord in outlet.
4 Turn on razor.
5 Shave left cheek.
6 Shave right cheek.
7 Shave under nose.
8 Shave chin.
9 Shave neck.
10 Check in the mirror for missed spots and shave them.
11 Turn razor off.
12 Unplug cord from wall and from razor.
13 Open razor head and blow whiskers into basket.
14 Get brush and clean razor head.
15 Close head and put on safety lid.
will care for self during menstruation as needed at _____ level at ______ criteria as measured by ___________.
1 Identify time/need to check pad.
2 Ensure privacy.
3 Pull down clothing.
4 Identify if pad is clean of dirty.
5 Remove dirty pad.
6 Place in appropriate receptacle.
7 Purchase/obtain appropriate menstrual product.
8 Open new package, extract pad, and remove paper strip.
9 Pull panties out flat.
10 Lay pad on panties and press to adhere.
11 Fold wings under pad and press to adhere.
12 Pull up panties without dislodging pad.