F OCUS ON I NDIVIDUAL L EARNING


  INPP Child Screening Questionnaire

The Institute for Neuro-Physiological Psychology INPP
established in 1975 by Peter Blythe PhD
INPP pioneered research into NeuroDevelopmental Delay (NDD) and its impact on specific learning difficulties including dyslexia, dyspraxia, ADD, ADHD & DAMP
 
Research (published in The British Journal of Occupational Therapy, October 1998) has shown that a score of 7 or more 'yes' answers on the questionnaire below indicates that further investigation for underlying neuro-developmental delay is advised for children over 7 years of age.
If 7 or more positive answers are scored on the questionnaire you may wish to consider making an appointment for an Initial Consultation to discuss your child's problems in greater detail.
1. Is there any history of learning difficulties in your immediate family?
2. Were there any medical problems during the pregnancy?
3. Was the birth process unusual or prolonged in any way?
4. Was your child born early or late for term (more than 2 weeks early or more than 10 days late)?
5. Was your child's birth weight below 5 lbs (pounds)?
6. Did your child have any difficulty feeding in the first weeks of life, or in keeping food down?
7. Was your child extremely demanding in the first 6 months of life?
8. Did your child miss out the 'motor stage' of crawling on his or her tummy and creeping on hands and knees?
9. Was your child late at learning to walk (16 months or later would be considered late)?
10. Was your child late at learning to talk (2-3 word phrases at 18 months or later would be considered late)?
11. Did your child have difficulty in, for example, learning to dress himself or herself, do up buttons or tie shoelaces beyond the age of 6-7 years?
12. Does your child suffer from allergies?
13. Did your child have an adverse reaction to any of his or her vaccinations?
14. Did your child suck his or her thumb beyond the age of 5 years?
15. Did your child continue to wet the bed, albeit occasionally, above the age of 5 years?
16. Does your child suffer from travel sickness?
17. Did your child find it very difficult to learn to tell the time from a traditional (as opposed to digital) clock?
18. Did your child have an unusual degree of difficulty learning to ride a bicycle?
19. Did your child suffer from frequent ear, nose, throat or chest infections?
20. In the first 3 years of life, did your child suffer from any illnesses involving extremely high temperature, delirium or convulsion?
21. Does your child have difficulty catching a ball, and stand out as 'awkward' in PE classes?
22. Does your child have difficulty sitting still for even a short period of time?
23. If there is a sudden unexpected noise, does your child over-react?
24. Does your child have reading difficulties?
25. Does your child have writing difficulties?
26. Does your child have copying difficulties?

If you have scored 7 or more 'yes' answers please contact June at Focus On Individual Learning, Singapore to discuss the results

In this case please print the questionaire and send it to June with your contact details.

  Name [Required]:
EMail [Required]:

Please indicate your interest below.
  I would like to make an appointment for an Initial Consultation to discuss my child
  I would like to arrange a Neuro-Physiological Movement assessment
  I am interested in a General Discussion Session
Child's Name:
Child's Date of Birth:
Home Tel(s):
Mobile(s):
Details of concerns:

Top

Email June for Information

Form Copyright © SGB (INPP Ltd Chester UK) 1975-2004. All Rights Reserved