{"id":39705,"date":"2026-07-06T18:04:33","date_gmt":"2026-07-06T10:04:33","guid":{"rendered":"https:\/\/autismpartnership.com.hk\/?page_id=39705"},"modified":"2026-07-09T17:53:16","modified_gmt":"2026-07-09T09:53:16","slug":"questionnaire-for-live-demonstration-children","status":"publish","type":"page","link":"https:\/\/autismpartnership.com.hk\/en\/questionnaire-for-live-demonstration-children\/","title":{"rendered":"Questionnaire for Complimentary 2-Day AP Method\u00ae Training Program"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"39705\" class=\"elementor elementor-39705\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8bca7bb e-flex e-con-boxed e-con e-parent\" data-id=\"8bca7bb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_top&quot;:&quot;opacity-tilt&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 2600 131.1\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M0 0L2600 0 2600 69.1 0 0z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.5\" d=\"M0 0L2600 0 2600 69.1 0 69.1z\"\/>\n\t<path class=\"elementor-shape-fill\" style=\"opacity:0.25\" d=\"M2600 0L0 0 0 130.1 2600 69.1z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56c74de elementor-widget elementor-widget-image\" data-id=\"56c74de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-1024x683.jpg\" class=\"attachment-large size-large wp-image-38933\" alt=\"\" srcset=\"https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-1024x683.jpg 1024w, https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-300x200.jpg 300w, https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-180x120.jpg 180w, https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-768x512.jpg 768w, https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-1536x1024.jpg 1536w, https:\/\/autismpartnership.com.hk\/wp-content\/uploads\/2026\/06\/R2-2048x1365.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b95743f elementor-widget elementor-widget-shortcode\" data-id=\"b95743f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f39697-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"39697\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/39705#wpcf7-f39697-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"39697\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f39697-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:39697,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;repeater_remove_button&quot;:&quot;bottom&quot;,&quot;notice_dismissed_update-cf7-5.8.7&quot;:true}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"ap-cf7-form\">\n\t<h3>Complimentary 2-Day AP Method<sup>\u00ae<\/sup> Training Program\n\t<\/h3>\n\t<p><label>Parent Name <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parent-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your full name\" value=\"\" type=\"text\" name=\"parent-name\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Tel <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parent-tel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter your mobile number\" value=\"\" type=\"tel\" name=\"parent-tel\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Email <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"parent-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@email.com\" value=\"\" type=\"email\" name=\"parent-email\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<h4>I. Basic Information\n\t<\/h4>\n\t<p><label>Name of Child <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Enter child&#039;s name\" value=\"\" type=\"text\" name=\"child-name\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Gender <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"child-gender\" value=\"M\" \/><span class=\"wpcf7-list-item-label\">M<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"child-gender\" value=\"F\" \/><span class=\"wpcf7-list-item-label\">F<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Date of Birth <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"child-dob\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"DD\/MM\/YY\" value=\"\" type=\"text\" name=\"child-dob\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Current School \/ Therapy<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"current-school-therapy\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Enter current school or therapy\" value=\"\" type=\"text\" name=\"current-school-therapy\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>Language(s) used at home<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"home-language\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Enter language(s) used at home\" value=\"\" type=\"text\" name=\"home-language\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<h4>II. Details about Your Child\n\t<\/h4>\n\t<p><label>1. How many words can your child formulate in a sentence? <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sentence-words\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"sentence-words\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"1\" \/><span class=\"wpcf7-list-item-label\">1<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"2\" \/><span class=\"wpcf7-list-item-label\">2<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"3\" \/><span class=\"wpcf7-list-item-label\">3<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"4\" \/><span class=\"wpcf7-list-item-label\">4<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"5\" \/><span class=\"wpcf7-list-item-label\">5<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"sentence-words\" value=\"6\" \/><span class=\"wpcf7-list-item-label\">6<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"sentence-words\" value=\"7+\" \/><span class=\"wpcf7-list-item-label\">7+<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>2. How many vocabularies and instructions does your child understand? <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vocab-instructions\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"vocab-instructions\" value=\"N\/A\" \/><span class=\"wpcf7-list-item-label\">N\/A<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"vocab-instructions\" value=\"Less than 10\" \/><span class=\"wpcf7-list-item-label\">Less than 10<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"vocab-instructions\" value=\"11-50\" \/><span class=\"wpcf7-list-item-label\">11-50<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"vocab-instructions\" value=\"51-100\" \/><span class=\"wpcf7-list-item-label\">51-100<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"vocab-instructions\" value=\"100+\" \/><span class=\"wpcf7-list-item-label\">100+<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>3. Does your child get anxious when separated from parents? <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"separation-anxiety\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"separation-anxiety\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"separation-anxiety\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>4. Does your child make spontaneous comments? <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spontaneous-comments\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"spontaneous-comments\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"spontaneous-comments\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>If yes, examples:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"spontaneous-comments-examples\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Please provide examples\" value=\"\" type=\"text\" name=\"spontaneous-comments-examples\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>5. Does your child understand the following questions?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"understand-questions\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"Who\" \/><span class=\"wpcf7-list-item-label\">Who<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"What\" \/><span class=\"wpcf7-list-item-label\">What<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"What&#039;s happening\" \/><span class=\"wpcf7-list-item-label\">What&#039;s happening<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"Why\" \/><span class=\"wpcf7-list-item-label\">Why<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"How\" \/><span class=\"wpcf7-list-item-label\">How<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"understand-questions[]\" value=\"None of the above\" \/><span class=\"wpcf7-list-item-label\">None of the above<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>6. What are your child's play interests?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"play-interests\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please describe your child&#039;s play interests\" name=\"play-interests\"><\/textarea><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>7. Does your child engage in self-stimulatory or repetitive behaviours? <span>*<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repetitive-behaviours\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"repetitive-behaviours\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"repetitive-behaviours\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>If yes, examples:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repetitive-behaviours-examples\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Please provide examples\" value=\"\" type=\"text\" name=\"repetitive-behaviours-examples\" \/><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>8. Are there any other behavioural challenges at home or in the community?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"behavioural-challenges\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please describe any behavioural challenges\" name=\"behavioural-challenges\"><\/textarea><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><label>9. What are your major concerns in your child's development?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"major-concerns\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Please share your major concerns\" name=\"major-concerns\"><\/textarea><\/span><br \/>\n<\/label>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-39705","page","type-page","status-publish","hentry"],"acf":{"post_author":null,"acf_resource_permalink":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - 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