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Toilet Training Checklist Template
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Is your child ready for potty training? Tick all statements that apply to your child.
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1.
Child's full name
2.
Readiness Checklist
[Checkboxes]
Responds to simple directions.
Remains dry for at least two hours during the day.
Wakes up dry after naps.
Has regular, predictable bowel movements (frequency may vary).
Can walk to the bathroom and pull pants down and up independently.
Shows discomfort with wet or soiled diapers.
Shows interest in using the toilet.
Has asked to wear 'big kid' underwear.
3.
Can the child identify basic body parts?
4.
Urination (pee) patterns or concerns?
5.
Bowel movement patterns or concerns?
6.
Which strategies have been tried at home? (e.g., reading books, using Cheerios as targets, trying on big-kid underwear, sitting on the potty)
7.
Does your child have any special needs or circumstances to consider?
8.
Additional notes or comments
Evaluation object score
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