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Child's Name
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Parent / Guardian Name:
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Parent / Guardian Email:
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Your Sunrise Therapist were:
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SPEECH
OT
PT
SI
Please rate the quality of services your child receives from your Sunrise therapist
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POOR
FAIR
AVERAGE
GOOD
EXCELLENT
Does your sunrise therapist(s) provide opportunities for you and other family members to be involved in therapy?
*
YES
NO
SOMETIMES
Has your therapist(s) provided you with guidance to continue a home program of therapeutic activities?
*
YES
NO
SOMETIMES
Would you recommend Sunrise Therapy to others in need of early intervention services?
*
YES
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SOMETIMES
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