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Children's Health Questionnaire Checklist

This checklist can be used alone or as a supplement to the book, "Getting Adam back...A Mother's Triumph Over Epilepsy And Autism." The checklist is very general, and can be used by anyone wanting to answer questions about their child's health. There are categories such as Behavior and Temperament, Medication side effects, Autistic tendencies (if applicable), Learning and Cognition, and Other questions of interest. We hope this checklist will be very helpful to you :).

*Before you Print* Be sure to set your printer to the following settings in order to print this checklist on one page:

  • This is a one-page 8½" x 11" checklist
  • This checklist was created in Word
  • Make sure your printer settings are set to Portrait
  • Choose print 1 page only
  • If the margins of any sections are outside the printable area of the page - click "OK."
  • Be patient while the checklist loads in Word

Click here to open and print out our "Children's Health Questionnaire Checklist" in Word!


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