ESOL *

Yes

No

Speech & Language *

Yes

No

Attention *

Yes

No

Learning Difficulty *

Yes

No

Reading/Literacy *

Yes

No

Emotional/Behavioral *

Yes

No

Mental Health *

Yes

No

Other Needs *

Yes

No

Has your child ever repeated a grade at school? *

Yes

No

Has your child ever been suspended, expelled or withdrawn from school due to behavior or academic reasons? *

Yes

No

Does your child require any medication by a physician to aid the learning process? *

Yes

No