About the child

Age of child:

Boy    Girl (please select as appropriate)

Age at which the stammer was identified:
Age at which speech and language therapy was begun:
Number of years in therapy:

Please assess the knowledge of stammering of the education staff involved with your child and select your choice.

Nursery    Very Good    Good    Satisfactory    Poor
Primary    Very Good    Good    Satisfactory    Poor
Secondary    Very Good    Good    Satisfactory    Poor

Please identify your main worry about the support in the education setting that your child received for his/her stammer at each education stage.

Nursery:

Primary:

Secondary:

Contact details:

Please provide your name and contact telephone number if you are willing to be contacted by the BSA to discuss your concerns in more detail. We will not pass this to anyone outside BSA.

the above information