SUBJECTIVE DATA [5-6 Years]

Interval History

What happened since the last health supervision visit? Be sure to include any parent concerns.

Examples

  • “What questions or concerns do you have about your child?”
  • “Do you have any concerns about your child starting school?”

Ask about past history. Any visits to the emergency department or urgent care? Any changes in the health of anyone in the family?

Questions for the child

  • Tell me something you are really good at doing.
  • Do you think you are healthy?

Development

Any specific concerns?

Language Development

  • Can he tell a story with full sentences?
  • Can he identify some opposites?

Motor Development

Gross Motor

  • Does he hop and skip?
  • Can he balance on one foot for at least 6 seconds?

Fine Motor

  • Can he draw a person with at least 6 body parts?

Review of Systems

Do you have any concerns about:

  • Rashes
  • Headaches (frequent or regular)
  • Eyes or vision
  • Ears or hearing
  • Breathing problems or chest pain
  • Stomach aches/pains, vomiting, or urine or bowel movement problems
  • Muscle aches/pain or injury

 

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