Sound difficulties enquiry

In order to make the most out of our time, please fill out the questions below so that I can best serve you during our conversation. I will read your responses and prepare in advance for our time together.

I am looking forward to talking with you! When it is time for our call, it is YOUR responsibility to call me at the phone number that will be provided in your confirmation email after I receive this form.

If you need to reschedule, you may email me at least 48 hours in advance and we can reschedule.

Enquiry for difficulties with sounds only


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    My child has no soundsMy child’s speech is totally unintelligibleMy child has difficulties with few soundsMy child is also bilingual (if so please state what are the languages)

    Briefly describe your child (age, gender, and any other details you think I should know


    Translating for others, but I understandCorrect my child when words are not pronounced correctlyRepeat and remodel without correctiondistract my childOther (please explain)

    AdviceRecommendationsProblem-SolvingCreative IdeasBrainstormingTherapy

    * Means the field is required

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