This is a very flexible activity sheet. Therapists use it differently to reach different goals.
OT: For sensory try gluing on spices and random sensory items such as feathers, play doh, fuzz balls, and paint. For fine motor emphasis you can cut it out and decorate it with torn green paper.
ST: Have kids write down the letter of the words they say on the tree in green. You can also have them tell you what they are putting on the tree if you give them random items such as sequins, stickers, fuzz balls, and spice.