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Social Skills 2023/2024-Form
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Email
*
Your email
Phone Number
*
Your answer
Child's Name
*
Your answer
Child's Age
*
Your answer
Child's Grade
*
Your answer
Has your child previously been enrolled in a social skills group?
Yes
No
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If your child has attended a social skills group, Where did they attend? For how long?
Your answer
If your child has a diagnosis (ASD, ADHD), what therapies have they engaged in and how long?
Your answer
Does your child exhibit any challenging behaviors (eloping, hitting, kicking, spitting, tantrum, swearing)?
If yes, please provide a brief description below.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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