Initial Intake Assessment

Take the first step towards personalised support for your child.

Please Note:

Please Note: Our Initial Intake Assessment is conducted for internal purposes only and is designed to help us gain a better understanding of your child’s individual strengths, needs, learning style, and support requirements.

The information gathered during the assessment is used solely to assist our team in developing an appropriate support plan and determining which programme, intervention, and strategies may be best suited to your child’s unique needs.

Our goal is to ensure that every child receives personalised support within a nurturing and structured environment that promotes growth, independence, and success.

Initial Enquiry

Description:

We'll discuss your child's needs and answer any questions you may have about our programmes and support services.

Intake Assessment

We schedule an Initial Intake Assessment and consultation with parents or guardians.

Description:

This allows us to observe your child's strengths, challenges, learning style, and support needs so we can determine the most suitable programme or intervention pathway.

Personalised Support Plan

Based on our observations and discussions, we develop a personalised support plan.

Description:

1:1 Intervention and Support
School Readiness Programme
Homeschool Support with Impaq

Enrolment & Ongoing Support

Once enrolment is completed, your child begins their programme.

Description:

We work closely with families to monitor progress, adjust strategies where needed, and provide ongoing support to help your child thrive academically, socially, and emotionally.

Childs Name

First

Last

Date of Birth

Parent(s)/Guardian(s) Name(s)

First

Last

Numbers

Parent(s)/Guardian(s) Name(s)

First

Last

textures, Email your

Numbers

Emergency Contact Details

First

Last

Numbers

Home Address

Are there any medical conditions or allergies we should be aware of?

Does your child have any sensory sensitivities? (e.g., textures, sounds, smells)

Has your child received any previous assessments or diagnoses? If yes, please specify

Does your child take any medications? If so, please list:

How does your child primarily communicate? (e.g., speech, gestures, AAC device, Makaton, sign language)

What are some common words, phrases, or signs your child uses?

Does your child respond to their name?

Does your child initiate communication, or do they mostly respond when spoken to?

Is your child able to follow basic instructions (e.g., “sit down,” “give me”)

What are your child’s favorite toys, activities, or games?

Are there any specific characters, shows, or books your child loves?

What motivates your child (e.g., praise, stickers, specific toys)?

What are your child’s strengths? (e.g., problem-solving, creativity, motor skills)

What challenges does your child currently face? (e.g., social skills, attention span, learning difficulties)

Are there any particular behaviors or situations that concern you?

Does your child experience meltdowns or challenging behaviors? If so, what strategies help calm them?

Is your child currently attending school? If so, what type (e.g., mainstream, special education)

What subjects or activities does your child enjoy most at school?

How does your child interact with peers (e.g., playing, sharing, parallel play)

Does your child struggle with transitions or changes in routine? If yes, what helps them adjust?

What does your child’s daily routine look like?

Does your child use any form of communication aids? (e.g., AAC device, picture cards, Makaton, sign language):

What are some challenges you experience at home (e.g., routines, behaviour, schoolwork)?

Are there specific goals you’d like to work on with your child? (e.g., improving communication, social skills, daily living skills)

What are your short-term goals for your child (e.g., improving communication, addressing behaviours)?

What are your long-term goals for your child (e.g., independence, social skills, academic progress)?

Picture permission for your child?