Questionnaire

1. Is your child currently in a remedial school or bridging class?

Yes
No

2. Have you met with your child’s teachers and has a recommendation been made that your child should move to a remedial school or bridging class?

Yes
No

3. Is your child falling behind academically?

Yes
No

4. Does your child struggle to follow instructions from the teacher?

Yes
No

5. Do you feel that your child is capable of better results and are you struggling to understand why he/she is not achieving these results?

Yes
No

6. Does your child need extra support to cope in the classroom?

Yes
No

7. Is your child struggling with academic pressure?

Yes
No

8. Does your child find it hard to make friends at school?Have difficulty initiating conversation?

Yes
No

9. Can your child effectively organise himself/herself in order to complete a task?eg. following through with multiple instructions?

Yes
No

10. Is your child able to let you know exactly what is required to complete a school task or homework assignment?

Yes
No

11. Can your child take the perspective of others or does the smallest thing upset him/her? Does your child have inappropriate or exaggerated reactions to social conflict ?Does your child seem to overreact to social conflict?

Yes
No

12. Is your child flexible and adaptable to different classroom environments? Does your child perform equally for different teachers?

Yes
No

13. Does your child have the ability to self monitor eg if the teacher gave a specific list of tasks is your child able to go back and ascertain whether all tasks have been completed.

Yes
No

14. Can your child problem solve effectively?

Yes
No

15. Is your child aware that he/she can ask the teacher for help when needed? Asking for help can prevent your child from completing a task incorrectly.

Yes
No

16. Have you assessed your child’s auditory memory?

Yes
No

17. Is your child capable of shifting attention when necessary?

Yes
No

18. Sustained attention can be key – is your child able to sustain his/her attention for the full duration of a task?

Yes
No

Your Name*

Your Email*

Your Contact Number*

Name of Child*

Age of Child*

Gender of Child*

Current School*

Area you live in*

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