Because you know your child and his or her strengths, challenges, and experiences best, we ask that you answer the following questions thoughtfully and honestly. There are no right or wrong answers. Through this process, Victory Academy hopes to learn more about your child and how s/he learns, communicates, and interacts with the world around him or her. Please know that we value your reflections and will keep all information confidential.
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| What are your child's greatest strengths? |
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| Please describe your child's current therapies and, if applicable, school environment (For example, does your child attend school? speech language therapy?) |
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| Based on your child's past experiences with therapies and school situations, what teaching methods were most beneficial for him or her? What teaching methods did not benefit your child? |
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| 4. What is your child's primary method of communication (verbal, written, augmentative, PECS, sign)? Please describe how your child uses language (for example, does s/he express wants and needs? answer yes and no questions? engage in conversation?) |
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| Does your child follow directions? Please include two or three specific examples. |
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| What are your child's favorite activities when alone? with family? with a friend? |
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| How does your child relate to and play with peers? |
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| Describe your child's eating practices. |
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| Describe your child's toileting practices. |
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| Describe your child's response to routines and transitions, both at school (if applicable) and at home. |
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| Does your child have any medical concerns that affect his or her learning and/or behaviors? Please list your child's diagnosed medical conditions. |
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| Does your child ever exhibit aggressive or self-injurious behavior? If so, please explain the circumstances. |
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| Please attach an outline of your child's past and current therapies, including dates, types of therapies, and provider names. |
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| Is there anything else you would like us to know about your child? |
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