Measure of Engagement, Independence, and Social Relationships
The MEISR™ is a list of skills that infants and toddlers (birth to 3 years of age) typically display in everyday routines within the home and community. To complete the MEISR, caregivers assess a child’s level of functional participation in 14 different routines. For the purposes of the MEISR, a caregiver is defined as someone who has observed the child often in the home. The MEISR has many benefits within the context of early intervention. Prior to administration, professionals should discuss the specific purpose and benefits as they apply to each child within each routine, including items with a typical starting age beyond the child’s age. Follow instructions at the bottom of each routine to determine scoring. Scores indicate a child’s level of mastery by age (relative to typical starting age for skills) and by routine (relative to all skills for that routine up to 36 months of age). Once completed, transfer scores for all routines to the MEISR Scoring Summary page. See the manual for complete administration instructions (Chapters 4 and 6). On a scale from 1 to 3 (Not yet, Sometimes, Often or Beyond this), rate your child’s level of functioning in performing activities. Circle 1, 2, or 3 for each skill. Depending on the child’s age, some activities may be beyond your child’s capability. This is expected. The MEISR takes about 45 minutes to complete.
Child's Details
| Child's Name |
Amber Brook |
| Child's DOB |
June 1, 2015 |
| Child's Age (months) |
25 months |
| Date of Evaluation |
July 1, 2017 |
| Caregiver(s) Name |
Lomita and Evan Brook |
| Professional(s) Name |
Viola Jackson and Ben Larsen |
MEISR Routines
| MEISR Routines (number of items in routine) |
A. Total Number of 35 |
B1. Total Number of Items Scored for Child's Age |
B2. Percentage of Items Mastered by Child's Age (A/B1 * 100 = %) |
C1. Total Number of Items Scored for Routine |
C2. Percentage of Items Mastered by Routine (A/C1 * 100 = %) |
| 01. Waking Up (25) |
21 |
23 |
91 % |
25 |
84 % |
| 02. Toileting/Diapering (20) |
6 |
12 |
50 % |
20 |
30 % |
| 03. Meal Times (47) |
24 |
37 |
65 % |
47 |
51 % |
| 04. Dressing Time (29) |
11 |
21 |
52 % |
29 |
38 % |
| 05. Hangout – TV – Books (38) |
16 |
24 |
67 % |
38 |
42 % |
| 06. Play With Others (38) |
18 |
27 |
67 % |
38 |
47 % |
| 07. Nap Time (14) |
9 |
11 |
82 % |
14 |
64 % |
| 08. Outside Time (26) |
13 |
14 |
93 % |
26 |
50 % |
| 09. Play by Him- or Herself (35) |
21 |
29 |
72 % |
35 |
60 % |
| 10. Bath Time (30) |
20 |
25 |
76 % |
30 |
63 % |
| 11. Bedtime (16) |
10 |
12 |
83 % |
16 |
63 % |
| 12. Going Out (35) |
15 |
26 |
58 % |
35 |
43 % |
| 13. Grocery Shopping (18) |
6 |
13 |
46 % |
18 |
33 % |
| 14. Transition Time (15) |
5 |
9 |
56 % |
15 |
33 % |
| TOTALS |
145 |
283 |
69 % |
386 |
51 % |
Sample Scoring for Routines
1. Waking Up
| Skill |
Typical Age (months) |
Not yet |
Sometimes |
Often or Beyond Time |
Func |
Dev |
Out |
| 1.01 Making vocal sounds |
0 |
1 |
2 |
3 |
S |
CM |
K |
| ... |
... |
... |
... |
... |
... |
... |
... |
6. Play With Others
| Skill |
Typical Age (months) |
Not yet |
Sometimes |
Often or Beyond Time |
Func |
Dev |
Out |
| 6.01 Reacting to sounds (e.g., startling) |
0 |
1 |
2 |
3 |
E |
CG |
K |
| ... |
... |
... |
... |
... |
... |
... |
... |
13. Grocery Shopping
| Skill |
Typical Age (months) |
Not yet |
Sometimes |
Often or Beyond Time |
Func |
Dev |
Out |
| 13.01 Attending to sound of caregiver's voice |
0 |
1 |
2 |
3 |
S |
S |
S |
| ... |
... |
... |
... |
... |
... |
... |
... |