LEARNING / EDUCATION (continued) Writing Ability:  No  Yes  Limited (Describe in comments how ability was assessed) Writing Ability Comments: (Have client write name. Have client write sentence, ie “The weather today is…” Transpose client’s written statements into comment box. Indicate reason in inability.) Ability to Learn / Motivation / Participation Client’s Client’s Ability to Learn  No Obvious / Apparent impairments  Cognitive deficit  Unable to assess Motivation to Learn  Motivated  Unmotivated  Unable to assess Participation in Assessment Process  Good  Fair  Poor  Unable to participate Learn / Motivation / Participation Comments: (Described above responses in detail) Preferred Learning Style: Client’s Classroom setting Demonstration Hands-on    Hearing information Individual information     Small group setting  Video  Other ________________________ (specify) Learning Style Comments: Allen Cognitive Level: Allen Cognitive Level Score: N/A Total Score   Name of Test / Results: 5
LEARNING / EDUCATION (continued) Writing Ability: (Describe in comments how ability was assessed)  No  Yes  Limited Writing Ability Comments: (Have client write name. Have client write sentence, ie “The weather today is…” Transpose client’s written statements into comment box. Indicate reason in inability.) Client’s Ability to Learn / Motivation / Client’s Participation Ability to Learn  No Obvious / Apparent impairments  Cognitive deficit  Unable to assess Motivation to Learn  Motivated  Unmotivated  Unable to assess Participation in Assessment Process  Good  Fair  Poor  Unable to participate Learn / Motivation / Participation Comments: (Described above responses in detail) Client’s Preferred Learning Style:  Classroom setting  Hearing information  Small group setting  Demonstration  Individual  Video  Hands-on  information  Other (specify) ________________________ Learning Style Comments: Allen Cognitive Level:  N/A  Total Score Allen Cognitive Level Score: Name of Test / Results: 5
54573%20(1-11)%20cws%20rehabilitation%20initial%20assessment.docx