Please take the time to read all the questions as a parent/carergiver completing this form on behalf of your child. You may find some sections of this form irrelevant, however the more information we have about your child, the easier it is for us to help you take a step forward.
The information gathered from this questionnaire is important in helping us identify the most appropriate assessments and interventions. The questionnaire should take approximately 45 minutes to complete. Your time and careful consideration is appreciated and expected. If you are unsure about any of the questions, please indicate in the space provided.
Please keep in mind this needs to be returned prior to your first appointment.Please be careful not to close your internet browser while completing this form.Note, it is required to complete every answer, and if you have no answer, please write NA for Not Applicable.** If you cannot complete the form in one sitting, please scroll to the bottom and select SAVE - you will need to add your email address, and then you will be sent a link to complete the form at a later time.
Thank you for your assistance.
In response to Covid-19 - OTFC Group have decided that it is necessary to collect the data of the vaccine status for the client and the caregiver who is bringing the client in. This is to protect the safety of our clients and the community as a whole.
Below we would like the vacinnation status of the carer who will be attending appointments with the client - if another carer is likely to come, their vacinnation status will be collected on arrival.
COMMUNICATIONPlease read the questions below and answer by ticking the relevant box and providing any further details that you think are relevent.
* Please ensure that any required communication supports (including communication aids, assistance person) are available during the evaluation
CURRENT ACTIVITIESThe following questions are used to help understand more about you and the activities you engage in, including your likes/dislikes and any areas that you may find more challenging.
WARNING!Please scroll up and check that you have answered each question. This will save you losing any details if you submit an incomplete form, and having to complete the form again.
Thank you in advance - OTFC Group.