Therapy Survey for Kids

Please respond by pointing to or circling a smile face if you agree or a sad face if you
disagree with the statement.

1. I enjoy participating in therapy.

2. My therapist makes therapy time fun.

3. I participate in therapy to the best of my

ability.

4. Therapy does not help me to function better.

5. My therapist answers any questions I may

have.

6. My therapist does not let me choose some

activities during therapy sessions.

7. I help the therapist decide on goals to work

on during therapy.

8. My therapist explains what he/she wants me

to do in therapy.

9. My therapist explains why we are doing

something in therapy.
10. Participating in therapy makes me a better
student.

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