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Price list
MAKE AN APPOINTMENT
APPOINTMENT FORM
1. Name and surname of the child's parents/legal representative:
2. Phone:
3. Email
4. Name and surname of the child:
5. Date of birth of the child:
6. Previous examinations already completed (multiple options can be picked):
PPP STEP
Another counceling center
No examination
7. The child is currently visiting:
Click and select one of the options...
Nursery school
Elementary school
High school
8. Class:
9. I request an on-site examination:
Click and select one of the options...
Kladno
10. Difficulties:
Click and select one of the options...
Learning
Raising/behaviour
Other
11. A more detailed description of the difficulties:
12. I am asking for (multiple options can be picked):
Examination
Consultation
Course
13. Kind of examination (multiple options can be picked):
Comprehensive/individual education
School readiness
Premature school maturity
Special pedagogical
Psychological
Adaptation to entrance exams
Professional orientation
Homeschooling
14. Kind of consultation (multiple options can be picked):
Pedagogical
Psychological
Individual therapy
Family therapy
15. Course (multiple options can be picked):
Preparatory course for children before school
Graphomotor course
Social skills training
Reeaducation
Development program for the support of attention and memory
SUBMIT THE APPOINTMENT FORM
Receipt of the appointment form will be acknowledged by the employee within 3 working days.
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