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Screening Questionnaire

Children's Screening Questionnaire

The Children's Questionnaire is designed to identify whether the INPP Neuro-developmental therapy/reflex integration we offer is likely to  help you.  This is helpful for both you and me: for you so that you will see the sort of information I will be looking for and for me to begin to form an understanding of the difficulties your child may be facing.

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Research published in the British Journal of Occupational Therapy has shown that a score of 7 or more 'yes' answers on this questionnaire indicates that further investigation for underlying neuro-motor immaturity is advised for children over 7 years of age

 

This questionnaire is specifically looking at neuromotor immaturity. It may be that there are still ways that Map & Compass can be a help including sound therapy , bilateral integration or a customised programme, but this will give you a good idea if neuromotor immaturity may be at the root of the difficulties your child is facing. 

 

For more information on the auditory or bilateral integration therapies I offer that can address a range of difficulties please read more on the website or feel free to be in touch. ​

Is there any history of learning difficulties in your immediate family? Required
Were there any medical problems during the pregnancy? Required
Was the birth process unusual or prolonged in any way? e.g. C-Section, forceps, etc Required
Was your child born early or late for term (more than 2 weeks early or more than 10 days late)? Required
Was your child's birth weight below 5 lbs (pounds)? Required
Did your child have any difficulty feeding in the first weeks of life, or in keeping food down? Required
Was your child extremely demanding in the first 6 months of life? Required
Did your child miss out/skip the 'motor stage' of crawling on his or her tummy and creeping on hands and knees? Required
Did your child have difficulty in learning to dress himself or herself, for example, do up buttons or tie shoelaces beyond the age of 6-7 years? Required
Does your child suffer from allergies? Required
Was your child late at learning to walk (16 months or later would be considered late)? Required
Did your child have an adverse reaction to any of his or her vaccinations? Required
Did your child suck his or her thumb beyond the age of 5 years? Required
Did your child continue to wet the bed, albeit occasionally, above the age of 5 years? Required
Does your child suffer from travel sickness/motion sickness? Required
Did your child find it very difficult to learn to tell the time from a traditional (as opposed to digital) clock? Required
Did your child have an unusual degree of difficulty learning to ride a bicycle? Required
Did your child suffer from frequent ear, nose, throat or chest infections at any time in development? Required
In the first 3 years of life, did your child suffer form any illnesses involving extremely high temperatures, delirium or convulsion? Required
Does your child have difficulty catching a ball, doing forward rolls/ somersaults and stand out as 'awkward' in PE classes? Required
Does your child have difficulty sitting still for even a short period of time? Required
If there is a sudden unexpected noise, does your child over-react? Required
Does your child have reading difficulties? Required
Does your child have writing difficulties? Required
Does your child have copying difficulties? Required
Has your child had a diagnosis? Required
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