Name: DOB: File No:

Key Contact: Parents Date:

Scale for Assessment of Family Enjoyment within Routines (SAFER)

Adapted with permission from
Stacy Scott & R. A. McWilliam (2000, Revised 4/03)
Frank Porter Graham Child Development Center, University of North Carolina at Chapel Hill

This routines-based interview is an assessment tool designed for professionals working with families to develop functional
intervention plans. By gathering information from the family about home and community routines, professionals can
identify the independence, engagement, and social competence of the child, and the concerns and priorities of the family.
The goals and outcomes generated from this assessment are (a) functional (i.e., identify immediately useful skills the child
needs to use throughout the day), and (b) transdisciplinary (i.e., do not have to be addressed by a professional of a
specific discipline).

The sample questions included in this instrument are intended to guide professionals through the assessment process.
Professionals are encouraged to develop their own questions to follow up with each family’s unique experiences.
Questions for community care (e.g., child care centre) are included for those families whose children participate in care
giving environments outside of their home.

Directions: Ask appropriate questions under each routine, making notes of the family’s responses to the right. After all
routines have been discussed, the interviewer reviews the concerns that were mentioned for each routine with the family.
The interview asks the family to rate the routine on the following scale. Provide family with a copy of the satisfaction scale
for their reference during the interview. Be sure to record a number for each routine.

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Not at all satisfied Satisfied Very Satisfied

The family chooses which concerns they would like to have addressed as outcomes or goals. Progress on outcomes or
goals may be measured over time by asking the family to rate their satisfaction of routines addressed in interventions
again.
Getting up in the morning Comunicacion y social
· Could you describe what getting up in the morning is like?
· Who usually wakes up first? 1. Comunicacion y social-
· Where does your child sleep? What is his/her communication like?
· How does your child let you know he/she is awake?
· Does he/she want to be picked up right away? If so, is he/she
happy when picked up?
· Or is he/she content by herself for a few minutes? What does
2. Cognitivo-
he/she do?
What are some activities that you like to do together?
· What is the rest of the family doing at this time?
· How is your child involved in these activities?
· Is this a good time of day? If not, what would you like to be
Does your family spend much time indoors? What doing?
different?
· What are some activities that you like to do together?
· What does your child do? Does your child like (the activity)?
Satisfied? 3 Participation? 3 Importance? 3

3. Adaptativo
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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
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Where does your child sleep?

· How does your child let you know he/she is awake? Cuando
despierta en las mañanas el despierta de buen humor. El comienzo
a jugar o hacer ruidos para que la madre lo saque de la cuna.
Does your child have a nap during the day? El toma siestas de 3
horas durante la tarde.

Who helps your child dress? La madre ayuda a a vestirse.

· Does he/she help with dressing? How?
coopera para vestirse, el trata de ponerse las camisas por si
mismo.
· What can he/she do on his/her own? eg top, bottoms, shoes,
socks se pone los zapatos y medias, tambien se las quita, el
intenta subir el zipper de su pantalon.
What are mealtimes like?
A la hora de comer tiene una silla alta y el come alli. come por si
mismo utilizando cucharra y tenedor.

· Does anyone help feed your child? Who?

· What does he/she do while you are changing him/her?

· Does he/she let you know when he/she needs to use the toilet?
no le gusta que le cambian el pañal, pero el se quita
el pañal o la ropa cuando necesita cambio de pañal.
Does your family spend much time indoors? What doing?
La familia de camina en exteriors y disfruta caminar en
exteriores.Sin embargo si el escucha ruidos o gritos Fuertes el se
aparta.

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
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Does your child like outings? How do you know? El sale corriendo a
caminar, el ve las flores, toca las piedras y la arena del parque. A
veces se sienta y juega con ninos del vecindario.

What is bath time like? no tiene problemas realizando transiciones,

el se bana en una tina, cuando el quiere terminar el baño el
remueve el tapon de la bañeara.

Dressing Notes
· Who helps your child dress?
· Does he/she help with dressing? How? usualmente se levanta en la mañana
· What can he/she do on his/her own? eg top, bottoms, shoes,
socks A la hora se Salir el para vestirse.
· What is his/her behaviour like?
Intenta hacer cosas por si mismo, como
· What is his/her communication like?
· How does he/she let you know if he/she is hot or cold?
· How does he/she react to different types of fabrics eg tight, El se comunica mediante el llanto, rabietas, señalando
loose, tags, furry, lycra? o buscando el objeto que desea
· Does he/she have favourite clothes he/she likes to wear? If so,
what are they?
· How satisfied are you with this routine? Is there anything you
would like to be different?

Satisfied? Participation? Importance?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
Name: DOB: File No:
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Eating/meals Notes
Home
· How is your child fed?
· What are mealtimes like? A la hora de comer el como junto a su familia
· Does anyone help feed your child? Who?
· Where does your child usually eat? How often does he/she eat?
El come en una silla alta para el
· How much can he/she do on his/her own?
· How involved is he/she with meals?
· What are other family members doing at this time? El come en una mesa pequeña
· How does your child let you know what he/she wants/is
finished? El come de todo
· Does he/she like mealtimes? How do you know?
· What would make mealtimes more enjoyable for you? Come por si mismo

Satisfied? Participation? Importance?

Community Care
· What are mealtimes like for your child when cared for by
others?

Satisfied? Participation? Importance?

Toileting
Home
· Does your child wear nappies?
· Are there any challenges with nappy changing? Aun no comienza Toiliet Training para avisar que
· What does he/she do while you are changing him/her? necesita cambio de pañal el
· Does he/she let you know when he/she needs to use the toilet?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
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If so, how?
· Does he/she use the toilet? What can he/she do by
him/herself?
· What toilet training strategies have you tried?
· How much help does he/she need with using toilet paper,
flushing, washing/drying hands and pulling pants up/down?
· What equipment do you use at home? eg toilet insert,
step/ladder
· How satisfied are you with this routine? What would make it
easier?

Satisfied? Participation? Importance?

Community Care
· How well does he/she use the toilets at school or daycare?
· Does he/she use public toilets in shopping centres or
restaurants? How does that go?
· What is his/her behaviour like?
· How satisfied are you with this routine? What would make it
easier?

Satisfied? Participation? Importance?

Indoors Notes
Home
· Does your family spend much time indoors? What doing?
· What are some activities that you like to do together? La familia pasa tiempo en los outdoor
· What does your child do? Does your child like (the activity)?
· How is your child involved in these activities?
Cuando estan outdoor , he enjoy this time because..
· What toys or games does he/she engage with/in? What does
he/she do?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
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· How does he/she move around?

How do they negotiate steps and stairs and other obstacles?
· How does your child interact with other family members?
· Is this usually an enjoyable time? What would make it easier?

Satisfied? Participation? Importance?

Community Care
· What kinds of indoor activities does he/she participate in?
·How much help does he/she need?
· How does he/she interact with others?

Satisfied? Participation? Importance?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
Name: DOB: File No:
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Getting ready to go/travelling Notes

Home
· How do things go when you are getting ready to go somewhere No esta saliendo durante el COVI
with your child?
· Who usually helps your child get ready?
· How much can he/she do on his/her own?
· How involved is he/she in the process of getting ready to go?
· What is his/her communication like at this time?
· Does your child like outings? How do you know?
· Is this a stressful time? What would make it easier for you?
Satisfied? Participation? Importance?

Community Care
· What are drop off and pick up times like for your child?
· Do you or other caregivers have any concerns?
Satisfied? Participation? Importance?

Shopping Notes
· How are trips to the shops? Do you take your child?
· Does he/she sit in a shopping trolley?
· How does he/she get around, negotiate steps, stairs and No actulamente
escalators?
· Does he/she like being at the shops?
· How is he/she involved in shopping? Do you have to occupy
him/her or is he/she pretty content?
· How does he/she react to other people in the shops?
· How does he/she communicate with you and others at this
time?
· Is there anything that would make shopping with your child
easier?

Satisfied? Participation? Importance?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
Name: DOB: File No:
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Notes
Community
· What kinds of outdoor activities does he/she participate in?
· How much help does he/she need?
· How does he/she interact with his/her peers?

Satisfied? Participation? Importance?

Bath time Notes

· What is bath time like?
· Who usually helps bath your child? El disfruta la hora del baño
· How is he/she positioned in the bathtub?
· Does he/she like the water? How do you know? Tiene algunos juguetes
· How involved is your child in washing herself or playing in the
water?
Le gusta el agua
· Does he/she kick or splash in the water?
· What toys does he/she like to play with in the tub?
· How does he/she communicate with you? What do you talk
about?
· Is bath time usually a good time? If not, what would make it
better?

Satisfied? Participation? Importance?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
Name: DOB: File No:
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Playing/relaxing/watching TV Notes
· What does your family do when relaxing at home?
· What are some activities that you like to do together?
· How is your child involved in these activities? La actividad o juego en la que pasa mas tiempo es
· Are there any toys or games he/she engages with/in?
· How does your child interact with other family members?
· Does your family watch TV/DVD’s? Will your child watch too?
· What does he/she like to watch? How long will he/she watch
them for?
· Do you have a favourite TV show/DVD?
· Is there anything you would like to do in the evening but can’t?

Satisfied? Participation? Importance?

Nap/bed time Notes

Home
· Does your child have a nap during the day?
· How does nap/bed time go? El duerme toda la noche
· Who usually puts your child to bed?
· Do you read books or have some type of ritual at this time?
· How does he/she fall asleep?
Toma siestas de
· How does your child calm himself?
· Does he/she sleep through the night? What happens if he/she
wakes up? Who gets up with him/her?
· Is bedtime an easy or stressful time for your family?

Satisfied? Participation? Importance?

Community Care
· Does he/she take naps for other caregivers? How does that go?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010
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Satisfied? Participation? Importance?

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Other Notes
· Are there any parts of your child’s day that we have missed?
· Is there anything that would make this routine or activity with
your child easier?

Satisfied? Participation? Importance?

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Adapted from Scott & McWilliam (2000) by Disability Services Commission, Western Australia, April 2010