NeuroHome Child Assessment
Saves as you go
Your child

Let's start with the basics.

This is where we get to know your child properly: nervous system, behavior, history, what is going well, what has been hard, and what you have noticed change over time. Your answers are what we build your child's plan from, so take your time and answer as honestly as you can.

121
Questions
~20
Minutes
Autosave
Close it and pick up where you left off.
About you
Used to identify this intake and follow up.
About your child
What happens next
  1. Tell us what matters mostChoose the areas you most want help with.
  2. Tell us what you're hoping forShare what meaningful progress would look like.
  3. Help us see the full pictureAnswer our questions about development and health.

About 20 minutes · Saves automatically as you go

Your priorities

What matters most to you?

Before we get into the detailed assessment, tell us what matters most to your family.

Choose up to 5 concerns you most want help with. 0 of 5 selected
Your hopes

What are you hoping for?

There are no right or wrong answers. Tell us what meaningful progress would look like for your child and your family.

6 months

What would you most love to see improve?

2 years

What do you hope your child will be able to do, communicate, or manage more independently?

5 years

When you picture your child five years from now, what are you hoping life looks like?

Answer what you can. You can always tell us more later.

Now help us understand the full picture.

Next, we'll ask about your child's development, communication, regulation, movement, health, and history.

Some questions are very specific. If you genuinely don't know, choose Unsure. We'll review everything with you.

13sections
121questions
~20minutes
How to answer

Choose the answer that best describes how much each item applies to your child. For behaviors or symptoms, think about how often you see it. For abilities or characteristics, think about how strongly it describes your child.

0NeverDoesn't apply
1RarelyOnce or twice ever
2SometimesMonthly, or mild
3OftenWeekly, or moderate
4AlwaysDaily, or severe

If you genuinely don't know, pick Unsure and we'll leave it out.

If you need to stop: your answers save as you go, so you can close the page and come back. They are kept for 3 days, on this device and browser only, so reopen the link on the same device to pick up where you left off.

Section 1 of 13 starts next.
Section 1 of 13

Section

0 / 121 answered
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Reviewing your answers...

Thank you.

Your intake has been submitted.

Need to change something? Contact Dr. Kyle's team.