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Flower & Crystal Essences Creams

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Child Information
optional, but if you wish to attach a photo of your child, make sure it is a jpg, png, or gif and no larger than 1.5MB
Family Information
Sibling Name Sibling Age
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Detailed Information

How is your child at the moment?


1=hyper, 5=calm
1=uncoordinated, 5=coordinated
1=low,5=high
1=low,5=high
1=low,5=high
Stimming is a repeating behavior or spinning momement with hand or similar behavior. Describe if it is strong, daily and/or compulsive)

How is your child's behavior at school?


(example: loves to ride a bike, but has poor coordination)

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