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Saltroad Screener v1

About Your Child

To get started, we'd like to collect a little bit of information about your child so we can match you with therapists with the right expertise and experience.

What is your relationship to the child?

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What is your relationship to the child?

Parent

Grandparent

Foster Carer

Guardian

Which age bracket do they fall into?

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Does your child use any languages other than English?

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What is your child's first name?

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This is just to help us personalise our communications with you. Feel free to provide just their initials if you would prefer.

Has your child had a Speech and Language Assessment from another Speech Therapist within the last 6 months?

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