The following questions relate to the child or young person named on the letter you received, and will contribute towards a neurodevelopmental assessment to be carried out by Psicon.

Thank you very much for agreeing to complete this questionnaire. Receiving feedback from a class teacher or education professional is invaluable as the perspective from the classroom enables us to understand how the child behaves in an environment that is completely different to home or the clinic room, which is a vital aspect of the assessment process. We do appreciate your time and would like to thank you in advance.

To ensure confidentiality for the child or young person, please do not use their full name when answering the questions. You could use the first initial of their name or just an X if you would prefer. The ID codes provided on the letter will be used to match your responses to the child or young person.

This is a detailed questionnaire relating to the child or young person's presentation in school. It will take approximately 60 minutes to complete. Please answer the questions to the best of your knowledge.

At the end of the questionnaire, there is "Print Response" option if you would like a copy for your records. 

Psicon Ltd
Specialists in Psychology and Health Services
15 New Dover Road, Canterbury, CT1 3EQ
psicon.co.uk
Company Registered Number: 03613914