
The Complete DAI Protocol
This probe is based on various developmental tools typically
used to determine approximations of intelligence levels in people with
developmental disabilities. This assessment is not intended to produce as
estimation of intelligence, but instead should be used to by a collaborative
team to set instructional priorities and for designing instructional goals.
This assessment requires those who are most familiar with the student/ individual with a developmental disability, to make
an estimation of the extent to which that person can perform various functional
skills independently.
DAI ASSESSMENT FOR STUDENTS WITH LOW INCIDENCE DISABILITIES
Score each item 1 to 3 with 1 being “needs full assistance”
and 3 being “independent. Score 0 if there is no evidence to support the
described behavior.
A. Expressive Communication Domain
Verbal /Gestural/Signed Communication
-
I can use between 1 and 5 verbalizations to
communicate my needs and wants. _____
-
I can use a combination of English words and verbalizations to
communicate my needs and wants. _____
-
I can use as many as ten English words to communicate my
needs. _____
-
I can use more than 10 words in English and/or another language to communicate my
needs and wants. _____
-
I can use an augmentative device with up to 4
choices. _____
-
I can use an augmentative device with up to 8
choices. _____
-
I can use my own gestures to communicate my needs and wants. _____
-
I use American Sign Laguage modified with my indivudal signs to communicate my needs and wants.
______
-
I use regular ASL signs to
communicate my needs and wants. ______
-
I use full spoken sentences in English to communicate my needs and wants. ______
Total for this
category - _____
Written Communication
-
I can use a fat marker or pencil to make marks on a
piece of paper. ______
-
I can use a pencil or pen to make marks on a piece of
paper. ______
-
I can make marks that consistently represent my
name. _____
-
I can print my initials with capital letters.
_____
-
I can print my name with both capital and small
letters. _____
-
I can write part of the alphabet in printed, capital
letters. _____
-
I can write the entire alphabet in printed, capital
letters. _____
-
I can copy a phrase using both capital and small
letters. _____
-
I can copy a sentence using cursive writing.
_____
-
I can write a subject/predicate sentence in any form
of writing. ______
Total for this
category - _____
Assistive/Augmentative Expression
1. I can
use an adaptive computer device to make a choice. _____
2. I can
use a computer mouse to make a choice. _____
3. I can
use an adaptive computer program to write my name. _____
4. I can
use an adaptive computer program to write a phrase. _____
5. I can
use an adaptive computer program to write a report or letter. _____
Total for this
category - _____
Electronic Communication
1. I can use a telephone to
dial my home telephone number. _____
2. I can use a telephone to
dial at least one emergency number. _____
3. I can use a telephone to
dial the numbers of friends and relatives. _____
4. I can use a computer to
send and receive email. _____
5. I can use a computer or
gaming device to play a game. _____
Total for this
category - _____
Total for Communication Domain out of 80 points - _____
B. Time Concepts Domain
1. I can show that I know the
difference between day and night. _____
2. I can show that I know the
difference between morning and afternoon. _____
3. I can show that I know
today, tomorrow and yesterday. _____
4. I can read a digital
clock. _____
5. I can read an analog
clock. _____
6. I can find the date on a
monthly calendar. _____
7. I can focus on a task for
at least thirty minutes. _____
8. I can focus on a task for
more than thirty minutes. _____
9. I can predict the day and
time of my favorite television show. _____
10. I can predict the day and
time for a movie I want to see at the cinema. _____
Total for this
Domain out of 30 points - _____
C. Self-regulation Domain
1. I can be safely left alone
for up to five minutes with adults nearby. _____
2. I can be safely left alone
for up to fifteen minutes with adults nearby. _____
3. I can be safely left at
home with no adults nearby for up to 30 minutes. _____
4. I can take care of my own
toileting needs. _____
5. I can take care of my own
hygiene needs. _____
6. I can dress myself
including tying my own shoes. _____
7. I can pick out my own
school clothes at the store. _____
8. I always wash my hands
after using the bathroom. _____
9. I check my clothes to see
if they need laundering. _____
10. I know how to lock and
unlock the doors at home. _____
Total for this
Domain out of 30 points- _____
D. Space Concepts Domain
1. I know when an object is
close to me. _____
2. I know when I cannot reach
an object. _____
3. I know what a shadow
is. _____
4. I can show which object is
the largest. _____
5. I can show which object is
the smallest. _____
6. I can show which object is
the longest. _____
7. I can show which object is
the shortest. _____
8. I can predict what a thrown
object will do to other objects. _____
9. I can predict how long it
will take to walk from school to home. _____
10. I can predict how long it
will take for the family car to drive to school. _____
Total for this
Domain out of 30 points- _____
E. Numeric Concepts Domain
1. I can count up to five
objects. _____
2. I can group objects by
their common colors. _____
3. I can add groups of items
when there are at least five in each group. _____
4. I can add groups of items
when there are more than ten in each group. _____
5. I can subtract groups of
items when there are at least five in each group. _____
6. I can subtract groups of
items when there are more than ten in each group. _____
7. I can name the parts of a
whole when it is divided into four parts. _____
8. Using a calculator, I can
multiply two numbers. _____
9. Using a calculator, I can
divide a number by two. _____
10. I know that four quarters
equal one dollar. _____
Total for this
Domain out of 30 points - _____
F. Vocational Concepts Domain
1. I know how to order things
from first to last with three items. _____
2. I know how to order things
from first to last with seven items. _____
3. I can understand a list of
five instructional steps when I hear them. _____
4. I can follow a
visual/picture list of steps in a three step process. _____
5. I can follow a
visual/picture list of steps in a seven step process. _____
6. I understand that I should
receive money for the work I do. _____
7. I understand that I should
listen to my supervisor at work. _____
8. I understand that “clowning
around” in not right for work. _____
9. I understand that the work
I do now will help me to do other tasks. _____
10. After I complete a task, I
ask for another task to do. _____
Total for this
Domain out of 30 points - _____
G. Daily Living Concepts Domain
1. I can use a spoon to feed
myself. _____
2. I can use a knife to cut up
food that needs to be cut up. _____
3. I can clean up my table
area after I eat. _____
4. I can tell the difference
between hot items and cold items. _____
4. I can boil water on a
stove. _____
5. I can follow directions for
microwaving a pre-packaged meal. _____
6. I can fry an egg in a
skillet. _____
7. I can plan a nutritious
meal using the Food Guide Pyramid. _____
8. I can launder my own
clothes. _____
9. I can make my own
bed. _____
10. I can clean up my own
room. _____
Total for this
Domain out of 30 points - _____
H. Community Experiences Domain
1. I can cross a street
safely. _____
2. I can tell a friend how to
get to my home. _____
3. I can tell a friend how to
get to my school. _____
4. I can locate up three items
at a grocery store. _____
5. I can locate a favorite
item in a variety store. _____
6. I can order a “combo” meal
at a fast food restaurant. _____
7. I can order a complete meal
at a “sit down” restaurant. _____
8. I can pay for any item
using the “Next Dollar Up” strategy. _____
9. I can predict how change I
get back from a dollar purchase. _____
10. I can budget for items that
I need to purchase. _____
Total for this
Domain out of 30 points - _____
I. Social Interaction Domain
1. I can express affection for
a care giver or parent. _____
2. I can play a simple game
with another person my age. _____
3. I can play a board game
with several other people. _____
4. I can get angry without
hurting other people. _____
5. I can identify up to three
emotions in myself. _____
6. I can identify up to six
emotions in myself. _____
7. I can identify up to three
emotions in other people. _____
8. I can identify up to six
emotions in other people. _____
9. I can trade my own property
for someone else’s property of equal value. _____
10. I can share an emotion that
I know someone else is experiencing. _____
Total for this
Domain out of 30 points- _____
Total for all domains out of 320 possible points - _____
|

_________________________________________________________
Since 2008, Pops Spedster And Company has published content for the developmental disabilities community.
_________________________________________________________________________________________________
THIS SITE CONTAINS MANY WORKSHEETS THAT CAN BE PRINTED OUT BY AND FOR STUDENTS.
ALL WORKSHEETS ON THIS SITE ARE FREE, BUT PLEASE DO NOT CLAIM A COPYRIGHT ON THESE FREE MATERIALS.
|

Updated 07/13/2026
Information about our company can be found at -
Copyright 2026 - James M. Kemp
|