This skill contains a certain measure of subjectivity because the terms neatness and slowness are difficult to define. The measure of success is whether or not the action of eating is more obtrusive (the dominant thing noticed) than the act of eating itself. It is critical to ensure that the environment is not contributing to the behavior. Excessive noise or the need to rush can be primary contributors to this problem. Soft background music can assist in setting a pace and tone for the environment. Adaptive equipment such as special handled spoons or plate guards to reduce spillage may be needed.