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Free Printable Get Ready Sheet for the First Evaluation

2 pages · what you've noticed, and what they said

What you've noticed and where, and your questions, ready before the visit, with room for what they said and the next steps.

What you type stays on your phone.

How to use it
  1. In the weeks before, write what you notice and where it happens, as it happens.
  2. A few days before, write your questions. Bring the page with you.
  3. During the visit, write what they said and the next steps.

An example, filled in

Example child Filled in for Auren, an example child. Your copy starts blank.
Get Ready for the First EvaluationBefore: what you've noticed. During: what they said.CHILDAurenAGE4DATENov 20WHO WE ARE SEEINGDr. KimWHO REFERRED USOur pediatricianWHEREChildren's clinicHOW MY CHILD COMMUNICATESA few words and pointingWhat I've noticedWHAT I NOTICEDWHERELines up toy cars for a long timeHomeCovers ears at lunchPreschoolHard time when plans changeHome, the storeAdd this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.Free for every family. Make a copy for another parent.Made with Bloom Autism Support · bloomautismsupport.com/freetools
Why it helps

A first evaluation can be a long wait and a long day. Examples you wrote down at the time are easier to share than ones you try to remember in the room, and your questions are still there when you need them.

Version

Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.

More like this

First-Then BoardFirst the task, then what comes next. Daily Log: Sleep, Food and ToiletSleep, food and toilet, one week. Sensory Diet KitActivities, a daily plan and a log.

Read more: Real World Ready, a guide for parents →

Made by autism parents with 10 years in special education and ABA.

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