logoDevelopmental Foundations Pre-purchase Questionnaire

Please help us to help you make the wisest decision about where to begin a Neurodevelopmental program by answering the following questions.



Please answer Yes or No to the following questions:

1) Does your child have a syndrome?  
 yes  no 
2) Has your child been labeled Autistic, Asperger's, or are they in need of sensory integration?  
 yes  no 
3) Does your child have a strabismus, nystagmus, amblyopia, macular problem or are they deaf or blind?  
 yes  no 
4) Was there any birth trauma involving lack of oxygen?  
 yes  no 
5) Is there a history of fetal alcohol or drug use during pregnancy?  
 yes  no 
6) Is there a past or present history of seizures?  
 yes  no