Name _________________________                Place _______________________

                                                         

Date __________________________

                                               

Time __________________________                Your room number ____________

 

1

Push wheelchair to Table

Open and close bottles

2

Push wheelchair to Parallel Bars

Standing balance

3

Push wheelchair to Arm Bike

Crank until alarm sounds

4

Push wheelchair to Workbench

Build with pipes

5

Push wheelchair to Table

Practice writing

6

Stuff Envelopes

7

Write time finished  _________________
Wait for next therapy

 
Bottles at Table