Take Our Simple FREE Assessment Below:

Information About Your Child:
* Child's Name:
* Is at least 5 years old?:
* Maintains attention easily?:
* Writes legibly without extreme effort?:
* Participates in sports in coordinated way?:
 
 
Does your child display any of the following behaviors:
* Squirming:
* Gets Up Frequently:
* Loses Attention Frequently:
* Writes Poorly:
* Moves Awkwardly or Clumsily:
* Avoids Athletics:
 
 
Does your child display any of the sitting positions below:
* Stands at Desk or Table:
* Slouches in Chair:
* Locks Feet to Desk or Sits on Feet:
 
 
Crawling as a baby:
Crawling Properly means crawling with head up, hands and knees on the floor, crawling forward with the belly off the floor. If your child was considered an "EARLY" walker please select NO for this question.
* Child Crawled for 6 Months and Properly:
 
 
Your Personal Information
Please provide your first name, email address and a password so we can send you the results of this assessment. We care about your privacy and will not sell or rent out your information or send spam emails. Thank you for taking our assessment.
* First Name:
* Last Name:
* Email:
* Password:

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