I never heard of giving TOEFL to a little kid, but the acronym is correct. Foreign students often take the TOEFL as part of admissions to US colleges - it is the Test of English as a Foreign Language as mentioned above. I think you can take it over the Internet now, so maybe they could use it to easily evaluate your child's level of understanding (evaluates up to college level of understanding).
I wrote a bunch of stuff about Developmental Coordination Disorder and sensory issues, but then I deleted it. I recognize that people would just rip me for my opinions on this, and how we resolved these issues with our kids (I'm sure that they would have been diagnosed with DCD), but it did not involve any therapy.
One piece of advice on the gross motor skills area - teach your kid to ride a bike while she is young. We clearly failed to spend enough time on this, so now middle kid can drive a car but still can't ride a bike.
