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Attention & Sitting Ability Screening Form
Fill this form
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Name
*
Mobile Number
*
of Age Gender
Email
*
Age
*
Gender
---Select---
Male
Female
Other
Any Prior Diagnosis (if any):
Maximum Sitting Time:
---Select---
Less than 1 minute
1–3 minutes
3–5 minutes
5–10 minutes
More than 10 minutes
What activities does the child usually do instead of sitting?
---Select---
Running around
Jumping / climbing
Playing with objects
Screen time (mobile/TV)
Repetitive movements
Other
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