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Preparing Your Child for Primary School: An OT Readiness Checklist for Malta Families

Is your child ready for primary school? Malta OT Ema Bartolo shares a practical occupational therapy checklist covering motor skills, self-care, attention, and social readiness.

What Does School Readiness Really Mean?

As the start of primary school approaches, many families in Malta ask the same question: is my child ready? It’s a question worth taking seriously — not to create anxiety, but because early identification of gaps gives children and families time to prepare.

From an occupational therapy perspective, school readiness is about much more than knowing the alphabet or counting to twenty. It’s about whether a child has the underlying skills — physical, sensory, cognitive, and social — to cope with the demands of a school day.

I’ve developed this checklist based on my work with pre-school and early primary children across Malta. It covers the key areas I assess when parents come to me with concerns about school transitions.

Fine Motor Skills Checklist

Fine motor skills underpin almost every academic task in primary school — writing, drawing, cutting, and manipulating small objects.

  • Can hold a pencil or crayon with a functional grip (three fingers, not fist)
  • Can draw basic shapes: circle, cross, square, triangle
  • Can copy simple patterns and lines
  • Can use scissors to cut along a straight line
  • Can manage basic fastenings: zips, large buttons, velcro
  • Can thread large beads onto a string
  • Can manage a fork and spoon independently

If several items on this list are challenging, a referral to an occupational therapist for fine motor assessment and therapy is a sensible next step before school starts.

Gross Motor Skills Checklist

Physical confidence and coordination affect participation in PE, playground activities, and even the physical demands of sitting in a classroom all day.

  • Can run, jump, and hop on one foot
  • Can climb and descend stairs confidently, alternating feet
  • Can catch a large ball at close range
  • Can pedal a tricycle or balance bike
  • Can sit on the floor cross-legged for short periods
  • Can sit on a chair with reasonable postural control for 10–15 minutes

Self-Care and Independence Checklist

Malta primary schools expect children to manage many self-care tasks independently. Children who need adult assistance with these tasks can feel embarrassed and lose valuable learning time.

  • Can use the toilet independently, including wiping and handwashing
  • Can put on and remove shoes (with velcro or basic laces)
  • Can put on and remove a jacket or school bag
  • Can open and close a lunchbox and manage food packaging
  • Can drink from an open cup without spilling
  • Can blow their nose and clean their face

Sensory and Regulation Checklist

School environments are intense sensory experiences. Noise, movement, crowds, new smells, and different textures are all part of a typical school day.

  • Can tolerate busy, noisy environments without becoming extremely distressed
  • Manages transitions between activities without major meltdowns
  • Can sit and focus on a task for 5–10 minutes
  • Recovers from upsets within a reasonable time (10–15 minutes)
  • Tolerates wearing school uniform, including socks, shoes, and collar
  • Can participate in messy or tactile activities without significant distress

Cognitive and Language Readiness Checklist

  • Understands and follows two-step instructions
  • Can recall and retell a simple story or event
  • Can identify colours, basic shapes, and their own name in print
  • Has sufficient vocabulary to communicate basic needs and ideas
  • Shows curiosity and willingness to learn new things

Social and Emotional Readiness Checklist

Social skills are often underestimated in discussions of school readiness. Yet children who struggle to share, take turns, manage conflict, or separate from caregivers face significant challenges from day one.

  • Can separate from parents with reasonable ease
  • Shows interest in playing with other children
  • Can take turns in simple games
  • Can express feelings using words (at least some of the time)
  • Can cope with frustration without extended meltdowns
  • Can wait for their turn in a group activity

What to Do If Your Child Is Not Yet Ready

Finding gaps in this checklist isn’t a reason to panic. It’s information — and information is power. Most skills can be developed through play-based activities, targeted practice, and early therapeutic support.

Here are my top recommendations for preparing children in the months before school starts:

  • Practise self-care daily: Let your child do things for themselves, even if it takes longer. Resist the urge to do it for them.
  • Build in fine motor play: Playdough, threading, puzzles, scissors activities, and drawing.
  • Create social opportunities: Playdates, group activities, and toddler groups help develop the social skills school demands.
  • Practise sitting and focusing: Short activities at a table — colouring, puzzles, games — build the attention stamina school requires.
  • Visit the school: Familiarity reduces anxiety. If possible, visit the school building and classroom before the first day.

When to Seek OT Support

If your child has significant difficulties in multiple areas — especially fine motor skills, self-regulation, or sensory processing — an OT assessment before starting school is genuinely valuable. Early support in the term before school, or at the very start of primary education, can make an enormous difference to how a child settles and progresses.

In Malta, I work closely with families, pre-schools, and primary schools to ensure children receive the support they need for a confident school start.

If you’re concerned about your child’s development, contact us at +356 99872936 or visit wonderkids.mt to book an assessment.

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