The Screening Questionnaire provides information on the individual’s developmental history and current presenting difficulties.
Options are presented below to enable you to complete the questionnaire before meeting us. You can complete on-line, download and print out the questionnaire in Word format or request that we post out a copy to you. If you have any problems or queries with the screening questionnaires please contact us on 0114 2451502 or via email at info@kinesisconsultancy.com
Go to Child Screening Questionnaire
Go to Adult Screening Questionnaire
Download Child Screening Questionnaire (Word document)
Download Adult Screening Questionnaire (Word document)
Please complete the enquiry form below
The Screening Questionnaire originates from the British Journal of Occupational Therapy, Goddard S, Hyland D, October 1988 and An Organic basis For Neurosis and Educational difficulties, Blythe P, /McGlown, 1979.