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R&W SEN AFTERSCHOOL
Roots And Wings Sen after school wind down
*
1.
What is the age of your child/ren
(Required.)
2.
What is your child/ren gender?
3.
Does your child have a diagnosis (though one is not needed to join the group)
Yes
In progress/on waiting list
No diagnosis/exploring options
Other (please specify)
4.
Primary support need / neurotype (optional, select all that apply)
Autistic
Adhd
Sensory processing
Speech and language
Anxiety/emotional regulation
Learning difficulties
Other (please specify)
5.
How likely are you to attend a weekly wind down club?
Very likely
Likely
Occasionally
Not right now
6.
Preferred day(s)
Monday
Tuesday
Wednesday
Thursday
Friday
7.
3. Are you comfortable with a small group of up to 16 children?
Yes
No (please specify)
8.
4. Would a voluntary £3 per child per session be affordable for your family?
Yes
No
Would need funding support
9.
What activities appeal most to your child(ren)
Play doh/kenetic sand
Crafts
Board games
Lego/building
Reading corner
Sensory bins
Other (please specify)
10.
1. Would you like to join our email list for updates? If yes, please tell us your email.