Riverbend Student Questionnaire
Questionnaire
This form will help us get to know your child, so we can tailor their program to best serve their needs. Please be as detailed as possible.
Name *
Your answer
Email *
Your answer
Does your child have a diagnosed learning disability? If yes, what is the diagnosis? *
Your answer
Please tell us about your child's history at school and as a learner. *
Your answer
Please tell us about them socially and emotionally. *
Your answer
Please tell us about their behaviour and what (if any) their triggers are. *
Your answer
Please tell us what your goals are for your child as a learner. *
Your answer
What do you hope they get out of their experience at Riverbend? *
Your answer
What are their interests, hobbies, and strengths? ( please focus as much as possible on strengths) *
Your answer
What service are you interested in for your child? *
Required
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