Dear Teacher,

Thank you for taking the time to complete this form. It is part of a comprehensive neurodevelopmental assessment being conducted by Be Kind Psychology at the request of the child’s parent or guardian.

The purpose of this form is to gather your observations of the child’s communication, behaviour, social interaction, emotional regulation, and learning within the school setting. Your insights are an essential part of understanding how the child experiences and navigates their daily environment.

There are no right or wrong answers – we are interested in your honest, day-to-day impressions. Please answer all questions as accurately as possible, based on your experience with the child over time.

All information will be treated confidentially and used solely for the purposes of clinical assessment.

Thank you for your valuable input.

Warm regards,
Dr. Jill Pollard
Chartered Clinical Psychologist
Be Kind Psychology