Special Needs Training: Special Needs Questionaire

If you are interested in learning more about our Special Needs Training, please complete the questionaire below. If you prefer, you may also download this form to print and bring with you in person.

Special Needs Training Questionaire

1. What is your child's special need?

2. How old is your child?

3. Is your child a ?

4. Is your child in PT and/or OT? If so, what kind of skills are they working on?

5. Are you looking for ?

6. Are there specific goals you are looking for with your child?(improve muscle tone, gait, coordination, social interation, posture, weight loss, etc.)

7. Do you work for a specific organization? If so, which one?