Grading Activities

I need some assistance in grading some activities? Does anyone have any ideas? I can't use positoning or adding/taking away weight.

A way to physically grade down a game of Bingo.

A way to cognitivly grade down a game of Bingo.

This is what I have so far...

Physical Grade up: Create Bingo cards where the numbers are pictures of exercises. All the exercises will be pulled out of a bowl/hat. When the patients have the exercise that was pulled, they must do that exercise. If a patient does not have that exercise, they don't have to do it.   

Physical Grade up: The bingo cage will go around to each patient and they will have to spin the handle and read out the letter and number. Each patient will turn and read out a letter/number 5 times.  

Cognitive Grade up: The patients will play 2 bingo cards at one time. 

Cognitive Grade up: The patients will play expressions bingo. The card will have the first part of an expression and spaces on the bingo card is the word that finishes that expression. “Beat around the…” 

Physical Grade down: Use dotting markers to mark the board instead of small counting chips

Cognitive Grade down: The patients will play bingo cards where the spaces are words. The words will be related to rehab, balance, fall prevention etc.