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Social Skills Checklist

Please complete the form below. Required fields marked with an asterisk *

Instructions: For each question, please select the best answer if that particular social skill occurs Almost Always, Often, Sometimes or Almost Never.

RATING SCALE

Almost always- the student consistently displays this skill in many settings and with a variety of people

Often- the student displays this skill on a few occasions, settings and with a few people

Sometimes- the student seldom displays this skill but may demonstrate it on infrequent occasions.

Almost Never- the student never or rarely exhibits this skill. It is uncommon to see this in their daily routine.

SOCIAL PLAY & EMOTIONAL DEVELOPMENT - Beginning Play Behaviors

Maintains proximity to peer within 1 foot*
Answer Required
Observes peers in play vicinity within 3 feet*
Answer Required
Parallel play near peers using the same or similar materials (e.g., playing cars near a peer who is also playing cars)*
Answer Required
Physically imitates peer*
Answer Required
Verbally imitates peer*
Answer Required
Takes turns appropriately during simple games*
Answer Required

Intermediate Play Behaviors

Shares toys and talks about the activity with peers, even though the play agenda of the other children is different*
Answer Required
Physically and verbally responds to interactions from peers (accepts toy from peer, answers questions)*
Answer Required
Returns and initiates greetings with peers*
Answer Required
Knows appropriate ways of joining in an activity with peers*
Answer Required
Invites others to play*
Answer Required
Takes turns during structured activities*
Answer Required
Obeys game rules*
Answer Required
Requests toys, food, and materials from peers*
Answer Required

Advanced Play Behavior

Plays cooperatively with peers during imaginative play*
Answer Required
Makes comments about what he/she is playing to peers*
Answer Required
Organizes play (suggests ideas to peers on how to play)*
Answer Required
Follows peer play plans*
Answer Required
Takes turns during unstructured activities without a time limit*
Answer Required
Offers toys, food, and materials to peers*
Answer Required

EMOTIONAL REGULATION

Understanding Emotions

Identifies likes and dislikes*
Answer Required
Identifies emotions in self*
Answer Required
Identifies emotions in others*
Answer Required
Justifies emotions once identified (eating because I’m hungry)*
Answer Required
Demonstrates affection and empathy toward peers*
Answer Required
Refrains from aggressive behaviors toward peers*
Answer Required
Refrains from aggressive behaviors toward self*
Answer Required
Does not exhibit intense fears or phobias*
Answer Required
Interprets body language*
Answer Required
Uses different tones of voice to convey messages*
Answer Required

Self Regulation

Allows others to comfort him/her if upset or agitated*
Answer Required
Self regulates when tense or upset*
Answer Required
Self regulates when energy level is high*
Answer Required
Deals with being teased in acceptable ways*
Answer Required
Deals with being left out of a group*
Answer Required
Accepts not being first at a game or activity*
Answer Required
Accepts losing at a game without becoming upset/angry*
Answer Required
Says “no” in acceptable way to things he/she does not want to do*
Answer Required
Accepts being told “no” without becoming upset/angry*
Answer Required
Able to say “I don’t know”*
Answer Required
Able to end conversations appropriately*
Answer Required

Flexibility

Accepts making mistakes without becoming upset/angry*
Answer Required
Accepts consequences of his/her behavior*
Answer Required
Accepts unexpected changes*
Answer Required
Continues to try when something is difficult*
Answer Required
Ignores others or situations when it is desirable to do so*
Answer Required

Problem Solving

Identifies/defines problems*
Answer Required
Generates solutions to problems*
Answer Required
Carries out solutions by negotiating or compromising*
Answer Required
Understands impact his/her behavior has on peers*
Answer Required

COMMUNICATION SKILLS

Conversational Skills

Initiate conversation when it is appropriate to do so*
Answer Required
Initiates conversation around specific topic*
Answer Required
Asks “Wh” questions*
Answer Required
Responds to “Wh” questions*
Answer Required
Makes a variety of comments, related to the topic during conversation*
Answer Required
Introduces him/herself to someone new*
Answer Required
Introduces people to each other*
Answer Required
Ends conversations appropriately*
Answer Required

Nonverbal Conversational Skills

Maintains appropriate proximity to conversation partner*
Answer Required
Orients body toward speaker*
Answer Required
Pays attention to a person’s nonverbal language and understands what is being communicated*
Answer Required
Waits to interject*
Answer Required

Compliments

Gives appropriate compliments to peers*
Answer Required
Appropriately receives compliments*
Answer Required
Asks for a favor appropriately*
Answer Required
Apologizes independently*
Answer Required