PARENT QUESTIONNAIRE

This questionnaire is to gather information about your child before assessment. Your answers will help me to get to know your child better and to understand your concerns about your child. Please let me know if there is any information that you would prefer not to be included in your child’s report, or shared with schools or other professionals.

DEVELOPMENTAL PROGRESS
PROGRESSS AT SCHOOL
FRIENDSHIP AND EMOTIONAL SKILLS
BEHAVIOUR
MOTOR SKILLS AND SENSORY ISSUES
OTHER DETAILS

Thank you for completing this questionnaire.

Please bring this form completed to your first appointment, or return it to our office,

fax on 8357 0045 or email reception@connectpsych.com.au