R Moore Photography

Name *

First Name

Last Name

Which of these best describes your child?

Non-verbal

Single word user

Emerging phrase/sentence communicator

Speaks easily in sentences

Uses an AAC device

How easily does your child engage with others?

My child does not engage with others

My child engages only with a high level of physical movement based play

My child engages but only when participating in preferred activities

My child engages easily but needs some adult support

My child has no difficulty engaging with others