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What About You?
A book for children with Selective Mutism, personalized for your child!
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Email
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Your email
What is your child's first name? (If they typically use a nickname, please use the name they prefer to be called.)
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Your answer
Please list the people who live in your house and what your child calls each person. For example, Mommy, Daddy, a brother named Tim and a sister named Sarah.
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Your answer
Please list 2-3 things your child likes to do.
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Your answer
Please list 2-3 things your child loves to eat.
Your answer
Please list one thing (an activity, a food, etc.) that your child does NOT like.
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Your answer
For EACH person you listed in question #2, please indicate 1-3 things they like to do.
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Your answer
For EACH person you listed in question #2, please indicate one thing they do NOT like.
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Your answer
For EACH person you listed in question #2, please indicate one thing that is HARD for them.
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Your answer
Does your child receive any tangible reinforcements for speaking to other people? For example, some people use stickers and prizes. Some use high fives and special activities. Please indicate what your system is, if anything.
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Your answer
How do you refer to your child's Selective Mutism? For example, some people say they are working on "Brave Talking". What words to you use with your child?
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