Post Assessment Form

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Name*
First Last
Email*
Child's Name*
First Last
On a scale of 1-5 (1 strongly disagree and 5 strongly agree)
I felt the Assessment Coordinator explained the process in a straightforward and supportive way.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
The assessment process was a positive experience.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
My child enjoyed the assessment process.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
The assessment helped my child's quality of life /understanding of self/academics.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
The preassessment (parent meeting) was beneficial and supportive.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
I felt the assessment showcased and understood my child's strengths and weaknesses.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
I felt the debrief was empowering.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
I felt the report and debrief were easy to understand.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
The recommendations were helpful and targeted to my child.*
- 1 Strongly Disagree
- 2
- 3
- 4
- 5 Strongly Agree
Areas of growth:
What I liked about the assessment process:
May we use your feedback for advertising purposes (your personal details would not be published)
- Yes
- No
How did you hear about us?
Comments
This field is for validation purposes and should be left unchanged.

Make an Appointment

Call and speak to our front of house staff on (852) 2807 2992 or fill in the quick enquiry form below and a therapist will call you back.

Child's Full Name*
First Name Middle SURNAME
Chinese Name
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
- Male
- Female
Name of School Attending
Primary Caregiver Name*
First Last
Relationship*
Phone number*
Email*

Note: Please use a unique email address. If a sibling is already using your email address, you can use the plus sign trick which works with most email providers as follows:
existingname+newsibling@mail.com
Service(s) requested:*
- Speech & Language Therapy
- Occupational Therapy
- Physiotherapy
- Clinical Psychology
- Counselling
- PsychEd / Education Assessments
- DIRFloortime
- Sensory Integration
- Feeding Therapy
- Unknown
Reason for referral/ what challenges is your child having?
Which location suits you best?*
- One Island South - Wong Chuk Hang
- Central
- Discovery Bay
- No Preference
How did you find out about SPOT?*
- Website/Internet
- Facebook/Instagram
- Friend
- Teacher
- Doctor/Professional Referral
Which Doctor?
Facebook Live Code
I would like to receive information on parent courses, child groups and the monthly e-newsletter from SPOT
- Yes
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17/F Wings Building
110-116 Queens Road
Central
Hong Kong

(852) 2807 3223

1021-1025
One Island South
2 Heung Yip Road
Wong Chuk Hang
Hong Kong Island

(852) 2807 2992

Flat 604
South DB Plaza (Block A)
Discovery Bay
Lantau Island

(852) 2807 2992