when to see us

02 9369 1957
0414 543913
info@activespot.com.au

Kids Spot
Active OT For Kids

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When to see us

Questionnaire to determine if assessment required

Sometimes children need a hand so they can make their abilities shine. Can we help your child?

If you are unsure about if our services are needed complete our brief questionnaire.

Was / is slower to reach developmental milestones

Has difficulty settling to sleep or calm

Experiences challenges with sleep / wake

Difficulty with feeding / limited diet

Appears weak / floppy

Appears clumsy / uncoordinated

Appears in a ‘world of their own'

Challenges with Attachment

Increased reaction during daily tasks

Increased intensity / duration / frequency of tantrums

Challenges with daily tasks: dressing, bathing, grooming, toileting, sleeping, eating

Challenges with academics: handwriting, spelling, reading, written expression, maths

Difficulty attending

Increased distractibility

Anxious or avoidant in response to daily tasks

Diagnosed with disability, disorder and / or difficulty

Challenges with interacting with peers and / or adults

Is not always understood by those not familiar with them

Struggles to follow instructions

Stutters

Struggles to find words to express self

Talks little or less than peers the same age

Your answers suggest that your child is successfully performing daily tasks. This is however only a guide. If you or others are concerned contact us to discuss your child in more detail.

Assessment and/or Intervention is encouraged when challenges interfere with daily performance and / or participation. Fill out the form below to share more information about your child. We’ll get in touch.

Your Name *

Email Address *

Childs Name *

DOB *

Phone Number #1 *

Phone Number #2

Address *

Name of School / Preschool / Daycare *

Carer 1 *

Carer 2

Please describe the main areas of concern regarding your child development / ability? *

Who suggested your child be seen by an SLT or OT? *

When did you first notice the difficulties? *

What is your child’s attitude to school / daycare / preschool? *

What are your child’s areas of strength? *

Has your child ever had a previous assessment with a specialist?

Speech Pathologist

Occupational Therapist

Psychologist

Pediatrician

Special Needs Teacher

Social Worker

Other

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Suite 13, Level 2, 97 Grafton st, Bondi Junction, NSW 2022

02 9369 1957 (OT)
0414 543913 (SP)
info@activespot.com.au

Kids Spot
Active OT For Kids