Individual Intervention — Ludica workshops

Hello parent,

Your insights and experiences as a parent are incredibly valuable in helping me provide the best possible support for your child.

I'd like to ask for your help by completing a short questionnaire about your child's development. Your input will give me a clearer picture of his strengths and challenges, allowing me to support your child's unique needs.

Thank you so much for taking the time to share your thoughts with me.

Claudia

Name

First Name

Last Name

Age

Fine Motor Skills

Evaluate your child's fine motor skills (e.g. using utensils, writing, buttoning clothes, cutting with scissors, drawing shapes)

Gross Motor Skills

Evaluate your child's gross motors skills (e.g. jumping, running, balancing, catching a ball)

Does your child experience difficulties with coordination or balance? If yes, provide exemples.

Sensory processing

Does your child have sensitives or aversions to certain sensory stimuli (e.g. touch, sound, taste, smell, visual input -lights)

Visual Perception

Does your child have difficulty with task requiring visual-motor integration (e.g. copying shapes, handwriting)

Cognitive Skills

Evaluate your child's ability to plan and organize tasks (e.g. putting away toys in the toy box; the child can independently cleans up without reminder, he needs prompts, the child struggles and needs support)

Does your child have difficulties with attention or working memory?

Social-Emotional Functioning

How does the child interact with peers and adults in social settings?

Does your child exhibit any emotional regulation difficulties or behavior challenges?

Daily Living Skills

How independent is your child in completing activities of daily living (e.g. dressing, grooming, eating)

Are there specific tasks or routines where your child requires additional support or assistance?

Please share any additional information or concerns you have regarding your child's dyspraxia

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