Quickly screen visual skills. Instantly create a polished screening summary.
The Visual Skills Quick Screen™ + AI Report Writing Prompt is designed specifically for occupational therapists who want a fast, organized way to screen oculomotor skills and document their findings.
Choose the workflow that fits your practice:
✔ Complete the screening digitally using the included Google Form.
✔ Or use the printable screening forms during evaluations and enter the results later.
Either way, simply copy your completed screening results into ChatGPT (or another AI application) using the included AI report writing prompt to generate a professional screening summary in seconds.
The AI-generated report includes visual strengths, visual concerns, interpretation of findings, potential classroom impacts, and practical school-based recommendations.
This screening is intended to support clinical decision-making and documentation. It is not a diagnostic assessment and does not replace a comprehensive eye examination or developmental vision evaluation.
What's Included
✔ Google Form visual skills screening template
✔ AI-assisted report writing prompt
✔ Quick Start Guide with step-by-step screenshots
✔ 2 printable visual screening forms (8.5" × 11") for paper-and-pencil administration
✔ Automatic calculation of chronological age
✔ Professional AI-generated screening summary including:
Student information
Visual strengths
Visual concerns
Interpretation of findings
Summary of findings
Potential classroom impacts
School-based recommendations
How It Works
Option 1 – Digital Screening
Download the Quick Start Guide.
Click the included link to make your own copy of the Google Form.
Complete the screening on a computer, tablet, or smartphone.
Submit the screening.
Open the linked Google Sheet and copy the completed response row.
Paste the row into ChatGPT (or another AI application) to automatically generate a professional screening summary.
Option 2 – Printable Screening
Print the included screening forms.
Complete the screening during your evaluation.
Enter the results into your Google Form whenever convenient.
Submit the form.
Copy the completed response row from the linked Google Sheet.
Paste it into ChatGPT to generate your screening summary.
No complicated setup. No manual report writing. Just a streamlined workflow that saves valuable documentation time while supporting high-quality clinical documentation.
Perfect For
✔ School-based occupational therapists
✔ Preschool through high school students
✔ MTSS and intervention planning
✔ Consultation visits
✔ Initial observations
✔ Re-evaluation screenings
✔ Determining whether additional vision evaluation or referral should be considered
Digital Download
This is a digital product. No physical item will be shipped.
Your download includes:
• Visual Skills Quick Screen™ Google Form template
• AI-assisted report writing prompt
• Quick Start Guide with screenshots
• Two printable visual screening forms
• Instructions for setting up your Google Form, linking your response spreadsheet, and generating AI-assisted reports
License & Terms of Use
This resource is licensed for one therapist. Your purchase includes permission for one individual to make a personal copy of the Google Form for professional use.
You may:
✔ Use the screening with your own students or clients.
✔ Customize your personal copy for your own practice.
You may not:
✘ Share, email, or distribute the Google Form, printable forms, Quick Start Guide, AI prompt, or any portion of this resource with others.
✘ Upload this resource to shared drives, websites, social media, or file-sharing platforms.
✘ Resell, reproduce, copy, or redistribute this resource in whole or in part.
✘ Create derivative products for sale using this resource.
If another therapist would like to use this resource, please direct them to purchase their own individual license.
© OTKimWiggins LLC. All rights reserved.
