Group Program Participant Information

Thank you for registering for a Hear and Say Group Social Skills program. Please complete the below form so we can get to know more about your child and their needs ahead of the program.

What program is your child attending?

Your name(Required)

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Your child's name(Required)

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Does your child belong to a friendship group or feel part of a social group?

Does your child show confidence when playing with their peers in group a group setting?

Does your child use appropriate non-verbal communication with their peers? E.g. eye contact or volume of voice.

Is your child able to use communication repair strategies with peers? e.g. asking for repetition or clarification.

Is your child able to participate and collaborate with their peers in a group setting?

Does your child know how to find out personal information about their peers? e.g. asking their name.

Does your child use their friends' names consistently in a group setting?

Does your child introduce themselves to their peers in a group setting?

Does your child use language and communication techniques to request help in a group setting?

Does your child use manners when talking to peers in a group setting? e.g. please and thank you.

Is your child able to explain and talk about their hearing loss to their peers?

Is your child able to talk to peers about their personal attributes? e.g. hair colour, eye colour, glasses or hearing technology.

Can your child recognise when something is not fair to others?

Can your child follow the rules of a game?

Does your child show appropriate expression of feelings when they win or lose a game?

I want to receive information about offers, services, products, events, and fundraisers that Hear and Say thinks may be of interest to me or surveys including by mail, email, SMS, social media, or other forms of communication. I understand I can unsubscribe from these communications at any time.

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Group Program Participant Information

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