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You and Your Child: 8-10

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MICRO QUESTIONNAIRE: YOU AND YOUR CHILD 8-10

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    SECTION A. MOTOR: EIGHT TO TEN YEARS

    Section description

    • The following questions relate to your child’s motor skills. The skills are in sequential order; for example the item that describes “running” is listed earlier on in the list than “walking on a balance beam.”
    • In this section, there is specific information about your child’s motor skills, that is, your child’s ability to use his/her hands, move around and be as independent as his/her age permits.

    Section instructions

    • Please indicate how much you agree to each of these statements by checking one of the boxes for each question:

    A1. Motor: Fine: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    A2. Motor: Gross: Eight to Ten Years of Age

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION B. SOCIAL AND EMOTIONAL: EIGHT TO TEN YEARS

    Section description

    • The following statements relate to your child’s social and emotional skills.

    Section Instructions

    • Please indicate how much you agree to each of these statements by checking one of the boxes for each item

    B1: Social and Emotional: Social: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    B2. Social and Emotional: Emotional: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not
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    SECTION C. COGNITIVE: EIGHT TO TEN YEARS OF AGE

    Section description

    • The following questions relate to your child’s intellectual/cognitive skills.
    • This section contains information about how your child deals with the world around him/her, how well he/she is able to solve problems and how well he/she is able to recognize and express basic information such as telling and retelling a story.

    Section instructions

    • Please indicate how much you agree to each of these statements by checking one of the boxes for each question:

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION D. LITERACY: EIGHT TO TEN YEARS

    Section description

    • The following questions relate to your child’s academic skills.
    • This section contains information about your child’s ability to perform basic skills that are related to reading, writing and math.

    Section instructions

    • Please indicate how much you agree to each of these statements by checking one of the boxes for each question:

    D1. Literacy: Reading: Eight to Ten

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    D2. Literacy: Writing: Eight to Ten years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    D3. Literacy: Math: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION E. LANGUAGE: EIGHT TO TEN YEARS

    Section description

    • The following statements refer to your child’s language and communication skills.
    • This section is sub-divided into 4 mini-sections: receptive language, expressive language, articulation and pragmatics
    • Please indicate how much you agree to each of these statements by checking one of the boxes for each item.

    E1. Language: Expressive: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    E2. Language: Receptive: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    E3. Language: Pragmatic: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    E4. Language: Articulation: Eight to Ten Years

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION F. ADAPTIVE: EIGHT TO TEN YEARS

    Section description

    • The following section contains information about your child’s self help skills or how he/she takes care of him/herself.
    • Please indicate how much you agree to each of these statements by checking one of the boxes for each question:

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION G. SENSORY PROCESSING/SENSORY SENSITIVITY: EIGHT TO TEN YEARS

    Section description

    • The following section contains information about your child’s sensory processing skills

    Section instructions

    • Please indicate how much you agree to each of these statements by checking one of the boxes for each question:

    I am (very much/somewhat/slightly, not) concerned that my (8-10 year-old) child does not

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    SECTION H. QUESTIONS FOR PROFESSIONALS

    In this section, we have compiled a list of questions that could help voice any concerns you may have about your child’s development, to the appropriate professionals (for example, pediatrician, general practitioner, public health nurse…):

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    SECTION I: AM I FOSTERING MY CHILD'S DEVELOPMENT

    This section contains information that could help you foster your child’s development.

    Please tick all statements that apply to you and if most of the following statements apply to you and your home, chances are you are!

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