Post-AIT Report

WHEN A PERIOD OF 3 TO 4 MONTHS HAS PASSED AFTER COMPLETING FST , YOU WILL WANT TO ASSESS WHAT CHANGES HAVE TAKEN PLACE. THIS FORM CAN BE USED TO DO SO. YOU CAN SEND IT TO YOUR PRACTITIONER FOR THEIR RECORDS, AND TO REQUEST SOME FOLLOW-UP.

NAME OF CLIENT                                                                            

DATE OF FST                                                                                  

1. WHAT WERE YOUR CHILD'S MAIN AREAS OF DIFFICULTY BEFORE YOU STARTED FST?

2. HAVE YOU NOTICED ANY CHANGE IN THESE?  PLEASE DESCRIBE:

3. WHICH OF THESE CHANGES DO YOU ASCRIBE TO FST?

4. HAVE THERE BEEN ANY NEGATIVE SIDE-EFFECTS THAT PERSISTED? PLEASE DESCRIBE:

5. DO YOU THINK THAT ANOTHER COURSE OF FST WOULD BE BENEFICIAL?

6. WOULD YOU LIKE TO ADD ANY OTHER COMMENT?