The document is an assessment form for evaluating a client's skills and abilities using the Wii gaming system. It contains sections to assess the client's motivation, communication skills, process skills, motor skills, and recommendations. The therapist would fill out the form by commenting on the client's performance in each area and indicate whether a Wii system would be beneficial.

1. Learning Disabilities
OCCUPATIONAL THERAPY
DRUMOSSIE UNIT, NEW CRAIGS,
INVERNESS IV3 8NP
TELEPHONE: (01463) 253616
Wii ASSESSMENT
Name:………………………………………………………………………..
Completed by :……………………… Date:………………………
Comments
Expectation of
Motivation for Occupation
Success
Awareness of winning or
losing games
Interest
Shows curiosity in setting
up of Wii
Expresses enjoyment
when playing the Wii
Participates in playing the
Wii
Choices
Chooses which game to
play
Relationship
Communication & Interaction Skills
Co-operates with partner
when playing on same
team
Ability to listen to
instruction
Engages in banter with
partner
Client Name (Date of Birth) Wii Assessment
Address 1 Therapist name
Address 2 Month & Year
Postcode
CHI: Page 1 of 4

2. Learning Disabilities
OCCUPATIONAL THERAPY
DRUMOSSIE UNIT, NEW CRAIGS,
INVERNESS IV3 8NP
TELEPHONE: (01463) 253616
Knowledge
Process Skills
Ability to understand
purpose of the game
Ability to learn how to
use the hand control
Ability to respond to the
vibration of the handset
Ability to act on
instruction
Ability to cope with
variable stimulation
Ability to cope with
distractions
Timing
Ability to concentrate on
the games
Ability to sequence in the
games
Ability to complete games
Problem Solving
Ability to make decisions
Ability to respond to
changes in the games
Ability to correct mistakes
Client Name (Date of Birth) Wii Assessment
Address 1 Therapist name
Address 2 Month & Year
Postcode
CHI: Page 2 of 4

3. Learning Disabilities
OCCUPATIONAL THERAPY
DRUMOSSIE UNIT, NEW CRAIGS,
INVERNESS IV3 8NP
TELEPHONE: (01463) 253616
Posture & Mobility
Motors skills
Ability to move and
maintain stability
Co-ordination
Ability to move the
handset fluidly (use the
correct force)
Ability to control the
handset using gross
motor skills
Ability to control the
handset using fine motor
skills
Ability to control the
handset using an
appropriate grip
Ability to cross the
midline
Ability to tolerate the
vibration of the handset
Energy
Endurance to physically
play the game
Maintains attention on
the game
Client Name (Date of Birth) Wii Assessment
Address 1 Therapist name
Address 2 Month & Year
Postcode
CHI: Page 3 of 4

4. Learning Disabilities
OCCUPATIONAL THERAPY
DRUMOSSIE UNIT, NEW CRAIGS,
INVERNESS IV3 8NP
TELEPHONE: (01463) 253616
Recommendations
Would a Wii be beneficial to this client? Yes/No
Client Name (Date of Birth) Wii Assessment
Address 1 Therapist name
Address 2 Month & Year
Postcode
CHI: Page 4 of 4