Tester2

Maryborough Psychology & Health Clinic

What type of school does your child attend?

Public schoolPrivate schoolCatholic schoolSpecial Needs School

How is your child's school performance?

What are his/her best subjects?

What subjects does he/she struggle with most?

Does your child receive any extra assistance in school? If so, what?

Does your child know the alphabet?

YesNo

Can your child read?

YesNo

Can your child write?

YesNo

Does your child understand numbers?

YesNoSome

How does your child cope with mental arithmetic/maths?

Can your child tell time?

YesNo

Can your child understand basic directions/language?

Is your child nonverbal, pre-verbal or only speaks single words?

YesNo

How is your child coping socially?

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