You can always press Enter⏎ to continue
Quiz: Will Music Therapy Benefit My Child?
1
Does your child struggle with social skills?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
2
Is your child's speech difficult to understand?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
3
Does your child have difficulty understanding others?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
4
Does your child struggle with following directions?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
5
Does your child have a hard time focusing?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
6
Does your child struggle with learning and memory? (forgetful, difficulty grasping new concepts)
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
7
Does your child struggle with motor skills? (awkward, uncoordinated, low muscle tone, etc.)
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
8
Does your child have difficulty managing emotions? (frequent tantrums/meltdowns, withdrawn)
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
9
Does your child "light up" when they hear music?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
10
Does your child pay more attention to music than to anything else?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
11
Does your child show more interest in things that are musical (instruments, toys, radio) than things that are not?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
12
Does your child accomplish tasks or transitions more easily when music is present?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
13
Is your child drawn to musical instruments?
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
14
Does your child sing often? (sometimes more than they speak?)
*
This field is required.
Never
Rarely
Sometimes
Often
Always
Previous
Next
Submit
Press
Enter
15
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
16
Total Score
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
16
See All
Go Back
Submit