Date:
Dear (name of child):
You have been asked to complete the enclosed booklet to help us learn more about your
participation in day-to-day activities outside of your regular school time. This is not an
assessment of your ability to do things, but rather of the activities you do or would like to do.
Please complete:

The CAPE, which stands for Children’s Assessment of Participation and Enjoyment.
You will be asked to identify the activities you have participated in over the past four
months. For each activity in which you have participated, you will be asked how often
you did the activity, with whom you did the activity, where you did the activity, and how
much you enjoyed doing the activity. Please follow the directions as they are written in
the booklet.

The PAC, which stands for Preferences for Activities of Children. You will be asked
to identify how much you would like to do different activities. Please follow the
directions as they are written in the booklet.
Please record all of your answers in the booklet. Your answers will be kept private and used
with you for the purpose of assessment, program planning, and intervention. Answer all of
the questions to the best of your ability. If you need help, ask your parent or guardian.
Remember though, your answers are the most important.
A self-addressed return envelope is included for you to return the completed booklet. Please
complete this by ___________(date).
If you have any questions, please do not hesitate to contact me at local (*) or by email at
(*)@viha.ca.
Sincerely,
Name
Physio/Occupational Therapist