8b Handout: setting questionnaire

Please download the Word document and complete

The Word document includes the following questions:

Have you watched the SM webinars on the BHT website? YES/NO*

*If “NO” please do so before completing the rest of this form

Has this student spoken to you or other children more/less/the same in the time you have known them?

To what extent have you observed this student talking? (e.g. roll-call, specific activities, interactions with peers and adults, volunteers answers, requests help)

To what extent have you observed this student using writing or non-verbal communication (e.g. nodding, gesture) to participate or communicate with other people?

Generally speaking, how would you rate this student’s communication (please underline):

(a) inadequate (b) adequate, but minimal (c) adequate

With reference to form D3, what stage of speaking to you feel the child is with their keyworker or person they feel most comfortable with (when 1:1)

To what do you attribute any lack of participation or reluctance to speak?

Please describe this student’s general behaviour this term, including any unusual mannerisms.

Have these increased or decreased in the time you have known this student?

What adjustments (if any) are in place to support this student’s inclusion in your setting?

What are your current or recent targets and has the child achieved these?

Please state help or advice you would like from this service and any other comments you would like to make.

Please note this form must be submitted alongside the standard referral form and parent questionnaire https://www.buckshealthcare.nhs.uk/cyp/referrals/ OR if there are other SLCN concerns presented at school advice session