Connect with my Peers and Understanding Emotions age 7-9
July 13, 14th, 15th 2022

This group is ideal for primary school children aged 7-9 years who attend mainstream schools and who are aware and interested in engaging with their peer group.

The program will support children who may be experiencing challenges in:

* getting along with peers
* putting learning into real life scenarios
* managing their own emotions, feelings and behavior productively
* managing the challenges of the school yard

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* 1. What is your name?

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* 2. What is your childs first name?

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* 3. What is your childs surname?

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* 4. What is your childs date of birth?

Date / Time

Date

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* 5. Does your child currently attend Talking Matters?

Yes

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* 6. How do you plan to fund your child's participation in the group?

The cost of this group is approximately $1300 depending on the number of children in the group
prices subject to change in line with any NDIS pricing schedule reviews

Through NDIS funding (I know that there are funds available to use for the group)

Through NDIS funding (I will need support to identify if there are available funds/where to take funds from)

Privatelly funded

Other

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* 7. What is the best phone number to contact you on?

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* 8. What is your preferred email address

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* 9. Does your child require 1:1 support?

Small groups are lead by one clinician and supported with up to 2 support workers. Children who need constant 1:1 support are not suitable for groups.

Yes

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* 10. How would you rate your child's skills in the following areas:
1 being the lowest, 10 being the highest.

There are 14 rating questions, please rate each of the questions below as this information will be used to track your child's progress in these areas.

	1	2	3	4	5	6	7	8	9	10
Your child's ability to identify and understand emotions in him/herself?	Your child's ability to identify and understand emotions in him/herself? 1	Your child's ability to identify and understand emotions in him/herself? 2	Your child's ability to identify and understand emotions in him/herself? 3	Your child's ability to identify and understand emotions in him/herself? 4	Your child's ability to identify and understand emotions in him/herself? 5	Your child's ability to identify and understand emotions in him/herself? 6	Your child's ability to identify and understand emotions in him/herself? 7	Your child's ability to identify and understand emotions in him/herself? 8	Your child's ability to identify and understand emotions in him/herself? 9	Your child's ability to identify and understand emotions in him/herself? 10
Your child's ability to recognise triggers/warning signs for big emotions?	Your child's ability to recognise triggers/warning signs for big emotions? 1	Your child's ability to recognise triggers/warning signs for big emotions? 2	Your child's ability to recognise triggers/warning signs for big emotions? 3	Your child's ability to recognise triggers/warning signs for big emotions? 4	Your child's ability to recognise triggers/warning signs for big emotions? 5	Your child's ability to recognise triggers/warning signs for big emotions? 6	Your child's ability to recognise triggers/warning signs for big emotions? 7	Your child's ability to recognise triggers/warning signs for big emotions? 8	Your child's ability to recognise triggers/warning signs for big emotions? 9	Your child's ability to recognise triggers/warning signs for big emotions? 10
Your child's ability to feel comfortable discussing their emotions?	Your child's ability to feel comfortable discussing their emotions? 1	Your child's ability to feel comfortable discussing their emotions? 2	Your child's ability to feel comfortable discussing their emotions? 3	Your child's ability to feel comfortable discussing their emotions? 4	Your child's ability to feel comfortable discussing their emotions? 5	Your child's ability to feel comfortable discussing their emotions? 6	Your child's ability to feel comfortable discussing their emotions? 7	Your child's ability to feel comfortable discussing their emotions? 8	Your child's ability to feel comfortable discussing their emotions? 9	Your child's ability to feel comfortable discussing their emotions? 10
Your child's ability to manage their emotions?	Your child's ability to manage their emotions? 1	Your child's ability to manage their emotions? 2	Your child's ability to manage their emotions? 3	Your child's ability to manage their emotions? 4	Your child's ability to manage their emotions? 5	Your child's ability to manage their emotions? 6	Your child's ability to manage their emotions? 7	Your child's ability to manage their emotions? 8	Your child's ability to manage their emotions? 9	Your child's ability to manage their emotions? 10
Your child's ability to understand that emotions can vary in size and impact?	Your child's ability to understand that emotions can vary in size and impact? 1	Your child's ability to understand that emotions can vary in size and impact? 2	Your child's ability to understand that emotions can vary in size and impact? 3	Your child's ability to understand that emotions can vary in size and impact? 4	Your child's ability to understand that emotions can vary in size and impact? 5	Your child's ability to understand that emotions can vary in size and impact? 6	Your child's ability to understand that emotions can vary in size and impact? 7	Your child's ability to understand that emotions can vary in size and impact? 8	Your child's ability to understand that emotions can vary in size and impact? 9	Your child's ability to understand that emotions can vary in size and impact? 10
Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others)	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 1	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 2	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 3	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 4	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 5	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 6	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 7	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 8	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 9	Your child's ability to engage in conversation (beginning, ending and contributing to the conversation, asks questions of others) 10
Your child's ability to respond to failure or disappointment appropriately?	Your child's ability to respond to failure or disappointment appropriately? 1	Your child's ability to respond to failure or disappointment appropriately? 2	Your child's ability to respond to failure or disappointment appropriately? 3	Your child's ability to respond to failure or disappointment appropriately? 4	Your child's ability to respond to failure or disappointment appropriately? 5	Your child's ability to respond to failure or disappointment appropriately? 6	Your child's ability to respond to failure or disappointment appropriately? 7	Your child's ability to respond to failure or disappointment appropriately? 8	Your child's ability to respond to failure or disappointment appropriately? 9	Your child's ability to respond to failure or disappointment appropriately? 10
Your child's ability to understand what others may be thinking and/or feeling?	Your child's ability to understand what others may be thinking and/or feeling? 1	Your child's ability to understand what others may be thinking and/or feeling? 2	Your child's ability to understand what others may be thinking and/or feeling? 3	Your child's ability to understand what others may be thinking and/or feeling? 4	Your child's ability to understand what others may be thinking and/or feeling? 5	Your child's ability to understand what others may be thinking and/or feeling? 6	Your child's ability to understand what others may be thinking and/or feeling? 7	Your child's ability to understand what others may be thinking and/or feeling? 8	Your child's ability to understand what others may be thinking and/or feeling? 9	Your child's ability to understand what others may be thinking and/or feeling? 10
Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others?	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 1	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 2	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 3	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 4	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 5	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 6	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 7	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 8	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 9	Your child's ability to recognise nonverbal cues (body language, facial expressions, tone of voice) of others? 10
Your child's ability to understand problems, their causes and possible solutions?	Your child's ability to understand problems, their causes and possible solutions? 1	Your child's ability to understand problems, their causes and possible solutions? 2	Your child's ability to understand problems, their causes and possible solutions? 3	Your child's ability to understand problems, their causes and possible solutions? 4	Your child's ability to understand problems, their causes and possible solutions? 5	Your child's ability to understand problems, their causes and possible solutions? 6	Your child's ability to understand problems, their causes and possible solutions? 7	Your child's ability to understand problems, their causes and possible solutions? 8	Your child's ability to understand problems, their causes and possible solutions? 9	Your child's ability to understand problems, their causes and possible solutions? 10
Your child's ability to successfully interact with other children?	Your child's ability to successfully interact with other children? 1	Your child's ability to successfully interact with other children? 2	Your child's ability to successfully interact with other children? 3	Your child's ability to successfully interact with other children? 4	Your child's ability to successfully interact with other children? 5	Your child's ability to successfully interact with other children? 6	Your child's ability to successfully interact with other children? 7	Your child's ability to successfully interact with other children? 8	Your child's ability to successfully interact with other children? 9	Your child's ability to successfully interact with other children? 10
Your child's ability to participate in small groups?	Your child's ability to participate in small groups? 1	Your child's ability to participate in small groups? 2	Your child's ability to participate in small groups? 3	Your child's ability to participate in small groups? 4	Your child's ability to participate in small groups? 5	Your child's ability to participate in small groups? 6	Your child's ability to participate in small groups? 7	Your child's ability to participate in small groups? 8	Your child's ability to participate in small groups? 9	Your child's ability to participate in small groups? 10
Your child's ability to form friendships?	Your child's ability to form friendships? 1	Your child's ability to form friendships? 2	Your child's ability to form friendships? 3	Your child's ability to form friendships? 4	Your child's ability to form friendships? 5	Your child's ability to form friendships? 6	Your child's ability to form friendships? 7	Your child's ability to form friendships? 8	Your child's ability to form friendships? 9	Your child's ability to form friendships? 10
Your child's ability to maintain friendships?	Your child's ability to maintain friendships? 1	Your child's ability to maintain friendships? 2	Your child's ability to maintain friendships? 3	Your child's ability to maintain friendships? 4	Your child's ability to maintain friendships? 5	Your child's ability to maintain friendships? 6	Your child's ability to maintain friendships? 7	Your child's ability to maintain friendships? 8	Your child's ability to maintain friendships? 9	Your child's ability to maintain friendships? 10

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* 11. What does your child do to calm him/herself?

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* 12. What do you do to support your child to calm down?

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* 13. Is there any other information that you would like to share about your child?

Thank you for taking the time today to complete these questions. This will provide us with important information in planning for groups. We will contact you to confirm and make a booking for groups once minimum numbers have been reached.

Connect with my Peers and Understanding Emotions age 7-9July 13, 14th, 15th 2022

Question Title

* 1. What is your name?

Question Title

* 2. What is your childs first name?

Question Title

* 3. What is your childs surname?

Question Title

* 4. What is your childs date of birth?

Question Title

* 5. Does your child currently attend Talking Matters?

Question Title

* 6. How do you plan to fund your child's participation in the group? The cost of this group is approximately $1300 depending on the number of children in the group**prices subject to change in line with any NDIS pricing schedule reviews**

Question Title

* 7. What is the best phone number to contact you on?

Question Title

* 8. What is your preferred email address

Question Title

* 9. Does your child require 1:1 support?Small groups are lead by one clinician and supported with up to 2 support workers. Children who need constant 1:1 support are not suitable for groups.

Question Title

* 10. How would you rate your child's skills in the following areas:1 being the lowest, 10 being the highest.There are 14 rating questions, please rate each of the questions below as this information will be used to track your child's progress in these areas.

Question Title

* 11. What does your child do to calm him/herself?

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* 12. What do you do to support your child to calm down?

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* 13. Is there any other information that you would like to share about your child?

Connect with my Peers and Understanding Emotions age 7-9
July 13, 14th, 15th 2022

* 6. How do you plan to fund your child's participation in the group?

The cost of this group is approximately $1300 depending on the number of children in the group
prices subject to change in line with any NDIS pricing schedule reviews

* 9. Does your child require 1:1 support?

Small groups are lead by one clinician and supported with up to 2 support workers. Children who need constant 1:1 support are not suitable for groups.

* 10. How would you rate your child's skills in the following areas:
1 being the lowest, 10 being the highest.

There are 14 rating questions, please rate each of the questions below as this information will be used to track your child's progress in these areas.