Kids With Special Needs Questionnaire

We want to get to know you and your child. Please fill out this series of questions for us to better support your child here at Grace. Upon completion you will be contacted by a Grace team member to go over the questionnaire and set up a time for your to come to Grace and meet our team.

  • what name do they respond to if not their first name
  • Please enter a value between 1 and 50.
  • parents, grandparents, siblings, etc
  • Voice, sign language, communication book or board, other
  • integrated, one on one, mainstream, etc.
  • It's important we know what is going on with your child regarding the disability before working with the child
  • for our knowledge as well if there is any kind of emergency
  • Talking devices, colostomy bag, leg braces, etc
  • i.e. participating in worship, sitting through lesson, etc.
  • e.g. visual schedule, token boards, etc (if yes please bring with you)