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- Child's Date of Birth*
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Format: (000) 000-0000.
- May Skill Point Therapy send text messages to this number regarding your child's Social Skills Group interest, availability, and scheduing?*
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- How does your child primarily communicate?*
- How would you describe your child's interest in interacting with other children?*
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- How does your child typically participate when around other children?*
- How much adult support does your child typically need to successfully interact with peers?*Use Single Choice:*
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- Are there any behaviors or safety concerns we should consider when determining an appropriate group match?*
- Does your child require assistance with toileting or other personal care needs during a 50-minute group?*
- Does your child have any mobility, accessibility, or physical support needs we should consider when planning for group participation?*
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- Is your child currently receiving any therapy or developmental services?*
- Has your child participated in a social skills group or other peer-based therapeutic group before?*
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- What type of school setting does your child currently attend?*
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- Which Skill Point Therapy location(s) would you be willing to attend for Social Skills Group?*
- Which days are you generally available for a weekly Social Skills Group?*
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- If we identify an appropriate group match, how soon would you be interested in starting?*
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- Should be Empty: