The purpose of this questionnaire is for the psychologist to have an understanding of your child and the concerns of parents / guardians. Please complete this questionnaire to the best of your knowledge. The information provided in Sections A to E of this questionnaire may be reflected in your child’s final psychological report.

Your personal information collected will be treated in the strictest confidence and will not be disclosed to any other party.

For Appointment and Enquiries

Consultations are strictly by appointment only.