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Mindful Child Wellness
Exit Program Match

Mindful Child Program Match Tool

Step 1 of 12

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  • How old is your child?

  • Are you interested in aerial yoga classes or occupational therapy for your child?

  • What’s your child’s experience level with aerial yoga?

  • Has your child ever received occupational therapy?

  • Does your child have any occupational challenges?

    Select all that apply.
  • What occupational challenges does your child face?

    Select all that apply.
  • Please Describe What Other occupational challenges your child faces.

  • What are some therapy goals for your child we can help you accomplish?

    Select all that apply.
  • Which areas of growth apply to what your child needs most?

    Select all that apply.
  • Does your child have any physical limitations we should be aware of?

  • Please elaborate on your child’s physical limitations so we can best help them.

  • Let us know how to get in touch with you, and we’ll match your child with one of our programs!