A few practical questions to capture what happens, what helps, and when a child is at their best. This describes observed needs — it is never a diagnosis.
0/5
Who is completing this?
When does this mostly happen?
Choose any that apply.
When things become too much, what usually happens first?
There is no right answer — just what you tend to notice.
What helps most when things feel difficult?
The supports that seem to calm or settle things.
When do they seem happiest and most settled?
Their strengths and the moments they thrive.
What tends to make things harder?
Common triggers you have noticed before a difficulty.
How do they usually let you know they need help?
Everyone communicates differently — all ways are valid.
Strengths and interests
What are they good at, and what do they love? This matters just as much.
Overall, how much is this affecting their day?
What has helped?
Any support, adjustment or approach that made a positive difference.
This is a record of observed needs and strengths, written without judgement. It does not diagnose any condition — only a qualified clinician can do that. Your notes help build clear, evidence-based support.
Please choose who you are, answer all 5 questions, and pick an impact level.