Inclusion Form | Stephens Family YMCA

Things that make me happy and that I enjoy doing are:

Things that make me unhappy and that I do not enjoy doing are:

I am good at:

I am not so good at:

I love talking about:

The best ways to transition to a new activity is by:

If you want to get and keep my attention, you should:

When I begin to get upset, I:

If I begin to become upset, the best ways to support me are:

Does your child have behavioral concerns at home or in the classroom?

No

Yes