Pre 16 Background Screening Questionnaire
Please be aware that the assessments take place at Phoenix Dyslexia Consulting, Uxbridge UB8 1EX.
This form takes approximately 30 minutes to complete. It is important that this questionnaire is completed as fully as possible. If you want, you can ask friends and family their opinion as well. This will enable us to support you in the most effective way.
PLEASE DO NOT PRINT THIS FORM. Complete online and submit and it will be sent to us for analysis.
Phoenix Dyslexia Consulting respects personal information as very important and therefore ensures that personal information is treated lawfully and correctly. We will never share or sell your information on. If you choose not to progress to the assessment stage, we will destroy any information you have sent us.
Please be aware that it may not always be possible for a formal diagnosis of a specific learning difficulty to be made as the result of an assessment.