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- Please mark all that apply to child's current emotion or behavior:*
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- Does the child wear pull ups? We recognize that accidents may occur and handle such situations with discretion, ensuring the child is treated respectfully and without embarrassment.
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- How good of a swimmer is the child (check all that apply)?*
- How would you describe the child's hyperactivity(check all that apply)?*
- Please let us know if -or how- the child may act out sexually?*
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- How does this child rate on the Autisim scale:*
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