Dear parents, to ensure an effective process of conducting a diagnostic study of your child and family, we ask you to fill out this form.
It will take you 10-15 minutes to complete this questionnaire.
The questionnaire presents questions about the child's condition during pregnancy and childbirth.
If your child does not demonstrate some skills or abilities, remember that the questionnaire is designed for a wide range of children and is DIAGNOSTIC.
In the GENERAL INFORMATION section, we ask you to answer standardized general questions.
To answer the questions in the section PREGNANCY AND DELIVERY, it is desirable to use the child's medical card, namely the discharge from the hospital and the conclusions of doctors in the first year of life.
GENERAL MEDICAL QUESTIONS should be answered based on the period from birth to the present.
If you describe in detail the development of a child under the age of one, it will help us understand the dynamics and nature of your child's development.
The section GENERAL DEVELOPMENT OF THE CHILD AFTER THE FIRST YEAR should be considered as a list of skills that are formed or just being formed in the child, so it is desirable to note all the points that the child has mastered from birth to date.
Our goal is to carry out a detailed diagnosis of your child's development and health as effectively as possible and, if necessary, to develop a program of further assistance.
Thank you for your cooperation.