School Questionnaire

Information is being gathered to clarify this child’s learning, emotional and/or behavioural needs.  Information from the current school will be very useful and help to provide a wider context in which to place these needs.  Your support is therefore appreciated.

Please be aware that it may not always be possible for a formal diagnosis of a specific learning difficulty to be made as the result of an assessment.

All information given will be treated confidentially.

Date of Birth *

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Current subject performance in relation to peer group
Does the child have any difficulty with
Does the child have a preferred learning style? Please select any that apply
Attitude to work – please select all that apply
Peer relationships – please select all that apply
If the child has a Statement of Educational Needs, please attach a copy of the most recent Annual Review or other relevant information
Attach File
More information
  • Files must be less than 80 MB.
  • Allowed file types: txt doc docx jpeg png pdf zip.
Your questionnaire will remain the confidential property of the parents. Thank you for taking the time to complete this questionnaire. Dyslexia Nigeria may contact you periodically with information and news. Any e-mail sent by Dyslexia Nigeria provides the option to be removed from the e-mail mailing list.

To book an appointment, please call 01-6327387 and 09025446486 or mail


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