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Search for:
About
Services
Clinic
Teletherapy
Summer Programs
Blog
Resources
Contact
What We Treat
Employment/Volunteering
Referral Form
About
Services
Clinic
Teletherapy
Summer Programs
Blog
Resources
Contact
What We Treat
Employment/Volunteering
Referral Form
06-Summer Programs- Social Skills for Ages 8–12
Narissa
2025-03-31T19:44:22-07:00
Social Skills for Ages 8–12
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Name
*
First
Last
Email
*
Phone
*
Child's First Name
*
Child's Birthday
1. Can your child participate in a small group setting (4–6 children) for up to 60 minutes, with short movement or sensory breaks as needed?
Yes
No
2. Can your child understand and follow group rules and routines with support?
Yes
No
3. Can your child participate in turn-taking activities and discussions with peers?
Yes
No
4. Can your child remain seated and engaged in structured tasks (e.g., games, discussions, video content) for at least 10–15 minutes at a time?
Yes
No
5. Does your child have basic conversational skills (e.g., can greet, ask questions, respond appropriately)?
Yes
No
6. Can your child express thoughts and feelings verbally or with AAC?
Yes
No
7. Is your child aware of others' feelings or social cues (even if emerging)?
Yes
No
8. Is your child working on or interested in improving social skills such as friendships, conversations, or problem-solving?
Yes
No
Is support in
9. Does your child benefit from visual supports, modeling, or role-playing to learn new social strategies?
Yes
No
10. Can your child manage frustration or disappointment during peer interactions (e.g., losing a game, not being chosen first) with support?
Yes
No
11. Are you able to commit to attending weekly sessions for 9 consecutive weeks (barring illness/emergency)?
Yes
No
12. Are you willing to support your child by reviewing brief take-home activities between sessions?
Yes
No
13. Does your child currently have an Individualized Education Program (IEP) or receive services through the school district?
Yes
No
Not Sure
14. Does your child use any communication supports (e.g., AAC device, picture board, sign language)?
Yes
No
Occasionally
15. What are your goals or hopes for your child by participating in this group?
16. Are there any strategies, supports, or routines that work well for your child during group or structured activities?
17. Is there anything your child finds especially challenging in group settings (e.g., transitions, peer conflict, unexpected changes)?
18. Anything else you’d like to tell us that would help us get to know your child better?
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