SOCIAL-DEVELOPMENTAL HISTORY QUESTIONNAIRE
History of Ear Infections Allergies and/or Asthma Vision Problems. Date of last exam: ... (reading, math, writing, spelling) Speech or Language problem (articulation, stuttering, etc.) Developmental Disorder (such as Autism, Asperger’s disorder, etc.) ... few years of life, were any of the following present to . significant . degree? Did not ... ................
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