3. Do you have to change the scoring scale with children?

Answer: In our experience, children younger than eight years have difficulty with the self-assessment required to complete the COPM, i.e., identifying where they are experiencing difficulties. The scoring system can be explained using examples from a child’s experience, e.g., Olympic judging or applied to a more concrete topic e.g., preferred foods, but it is usually the self-assessment piece that is difficult for children rather than the scoring.