Questionnaire - on-line support

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Dear Parents and Teachers!

Due to the current situation in our country and temporary suspension of meetings in our psychological and pedagogical counseling center we would like to meet your needs by offering on-line and telephone support (consultations and meetings on-line with speech therapist, psychologist, pedagogue for both parents and children).
Please fill in the questionnaire attached below. It will help us in planning activities responding to your current needs - our specialist will contact you by e-mail or phone.
We hope that this cooperation will bring the expected results.
The offer is addressed not only to current clients of our counseling center but to all interested parents and children.

Child's last name

Child's name

Grade

School

Phone number

E-mail address

Employee's name and last name

Forms of work

on-line or phone consultation with pedagogue for parents

on-line or phone consultation with speech therapist for parents

on-line or phone consultation with psychologist for parents

on-line or phone consultation for teachers

on-line of phone consultation for people(parents, children) with migration experience, recently arriving in and returning to Poland from abroad

receiving a set of exercises for individual corrective and compensatory work with a child at home

receiving a set of exercises for individual speech therapy work with a child at home

individual on-line psychological therapy

Other:

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