Developmental Coordination Disorder Questionnaire
Looking at the coordination of a child is often a window into the emotional, social and academic learning potential. Most of the motor skills that this questionnaire asks about are things that your child does with his or her hands, or when moving. A child’s coordination may improve each year as they grow and develop. For this reason, it will be easier for you to answer the questions if you think about other children that you know who is the same age as your child.

Please compare the degree of coordination your child has with other children of the same age when answering the questions. Tick the one number that best describes your child. If you are unclear about the meaning of an item, or about how you would answer a question to describe your child best, please call Darren at Brainstorm Rehabilitation for assistance.

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Are you a current or plan to be a client of Brainstorm Rehabilitation? *
What is the name of the child? *
Name of person completing this questionnaire? *
What is your email? *
Relationship to child
Child's date of birth *
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Child's age *
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