The following questionnaires can be downloaded from this page.
- Background
- Visual Processing
- Motor Skills
- Attention
- Dyscalculia
- Consent Form
Please download the relevant form and once complete email it to me at sophia.butler@sky.com
Background Information
- Is this report for a specific purpose eg Disabled Students Allowance, Exam Access Arrangements or a diagnosis of a Specific Learning Difficulty?
- What questions do you hope the report will answer and/or what is is the hoped-for outcome?
- Is there a history of speech/language or motor skills delay/difficulties?
- Is there a history of failure to achieve academic potential?
- Are there school/college/work concerns or any relevant reports?
- Will you explain to your child why they are being assessed as well as the outcome?
- Please complete the linked document and email to me prior to assessment
Please download and complete the relevant background information form and provide as much information as possible. Alternatively, please arrange a 30 minute telephone consultation with me and we can talk through the case in advance.
Background information form
Under 16s
Background information form
16 and over
Visual Processing
f you have further concerns about visual processing, please download the relevant form and send it to me.
If visual processing difficulties are indicated, it is strongly recommended that a behavioural optometrist is seen prior to (or instead of) assessment.
Visual processing
under 16s
Visual Processing
16 and over
Motor Skills
If you have further concerns about motor skills, please download the relevant form and send it to me.
If dyspraxia is indicated, then I follow SASC guidelines. Under 16 “In children, motor coordination difficulties may be noted and described in a SpLD assessment, but DCD / dyspraxia cannot be diagnosed without a motor assessment and children should always be referred to a G.P. Ideally, a multi-disciplinary team of medical, allied health and educational /psychological specialists would work together, for example at a clinic, to provide assessment and support recommendations but this situation does not exist everywhere in the UK, although there are models of good NHS practice in various parts of the UK.” Over 16 I can say if the client “shows significant features consistent with DCD / dyspraxia, shows a profile of DCD / dyspraxia.”
Motor Skills
under 16s
Motor Skills
16 and over
ADHD
If you have further concerns about attention/concentration and/or hyperactivity, please download the relevant form and send it to me.
If attention difficulties are indicated, then I follow SASC guidelines.
- “Under the age of 16: Support onward referral to CAMHS
- 16-17 years: Onward referral to CAMHS and detail characteristics of ADHD supporting the need for educational, and medical intervention
- Adult 18 years and over: Detailed report to enable access to support for study, employment, and medical management.”
ADHD
under 16s
ADHD
16 and over
Maths
If you have further concerns about maths, please download the relevant form and send it to me.
I follow the SASC guidelines for dyscalculia: “Recommendations for interventions and reasonable adjustments should be clearly linked to o The individual’s difficulties reported in the background information and evidenced in the assessor’s quantitative and/or qualitative analysis of performance in tests. o The individual’s needs within the classroom, course or job. Wherever possible recommendations should be developed collaboratively with relevant mathematics specialists in the individual’s school, course or workplace. Reasonable adjustments should be appropriately targeted to address the need without potentially giving the individual an unfair advantage. Assessors should bear in mind that adjustments such as use of a calculator or provision of rest breaks can sometimes target the need more effectively than additional time.”
Please give me school/college contact details so I can send them the relevant form for primary or secondary students.
Information for you
- I will only share the report with you and relevant teaching professionals.
- I will keep the report safely for as long as requested.
- I am insured, qualified, experienced and a registered data controller.
- I will not use excessive, unsuitable or unnecessary tests.
- I am not an Educational Psychologist. If you have concerns about Autistm, emotional/behavioural difficulties, sensory sensitivity, eating disorders, Speech, Language and Communication Needs or global learning delay you should consult a professional qualified to diagnose these types of difficulties.