Support requirements

Step 1 of 2

Introduction

This form asks questions about your child's preferences, interests, skills and requirements so that we can understand how best to support them.
Communicates wants/needs
Understands instructions(Required)
IndependentlyWith verbal promptWith verbal & visual promptWith co-active help
Undress
Wash hands
Wash him/herself
Brush teeth
Brush hair
Choose clothing
Dress
Toilet independently - day time
Toilet independently - night time
Feed him/herself with spoon
Feed him/herself with fork
Use knife and fork to cut
Most timesSometimesRarelyNever
Likes to be alone
Likes company of other children
Likes company of adults
Sleeps through the night

Bedtime

Food and drink