Parent questionnaire [Type the document title]
June 11, 2013
Questionnaire about helping your child’s speech and language development Please complete the questionnaire if you have asked for advice from a speech and language therapist. This questionnaire is designed to help us understand how parents and speech and language therapists work together. Your answers will be kept strictly confidential and you will not be identified by name. The questionnaire should take approximately 10 minutes to complete. The results will be used for educational purposes, as part of my Doctoral degree. The findings may be published. This research is part of a national study funded by the National Institute for Health Research (NIHR) under its Programme Grant for Applied Research Programme. For further details see http://www.speech-therapy.org.uk/child-talk-what-works Questions Section 1: Information about your child 1. My child’s age is 2. How old was your child when you first saw the speech and language therapist 3. My child has difficulty with talking
Saying words clearly Learning words Putting words together Understanding what you say Talking fluently Other (please specify)
4. When I first saw the speech and language therapist, my child’s difficulties were 1. very minor
2.minor
3. Not sure
4. major
5. My child has other learning or health needs (please specify)
6. I have seen the SLT
7. I am seeing
1
once 2-4 times 5-10 11 or more times
NHS speech and language therapist Private speech and language therapist
5. very major