Vision & Primitive Reflex Progress Review Patient’s Name: First Last Date MM slash DD slash YYYY 1. How often are your prescribed exercises practiced?2. Are you using a supplementary auditory processing program at home?3. Describe any difficulties in carrying out the exercises4. Check any areas showing signs of improvement Sitting Still Interest in exercises/training Confidence Waiting quietly/patiently Understand directions Sports/Athletics Reading without losing place Balance Telling time Comprehension Eye control/convergence Knowing right from left Spelling Eye teaming Coordination Math/ computations Writing Attention Toileting Interest in school/work Muscle tone Speech/ language Decreasing reversals Alertness/energy level Listening Decreased irritability Social skills Sleeping Motivation 5. Other areas of improvement:6. List topics you would like to discuss: Δ