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CASES Study
Genius Factory Academic
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CASES Study
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1
Student Information
2
Parent information
3
Information about the student's status
Student name
Birth date
Chronological age
Nationality
Gender
female
male
Next
Father's name
Father's job
Father's phone number
Mother's name
Mother's job
Mother's phone number
The emirate
Abu Dhabi
Dubai
Sharjah
Ajman
Umm Al Quwain
Ras Al Khaimah
Fujairah
Region
Email
Emergency phone number
Previous
Next
Medical history
The student's health condition is generally not good
The duration of pregnancy was abnormal (9 months).
The student was exposed to problems immediately after birth
The student’s developmental history was abnormal (crawling, sitting, walking)
The student suffers from congenital problems (internal or external)
The student suffered from a lack of oxygen during birth
The student stayed in the hospital for a while after giving birth
The student suffers from problems with sight, hearing, or touch
The student suffers from breathing problems
The student suffers from contagious skin diseases
The student suffers from epilepsy or seizures
The student suffers from movement problems
The student suffers from eczema
The student suffers from any allergy to food, drinks, or anything else
The student has problems sleeping
The student suffers from a lack of control over excretion (urine - feces).
The student is taking any medical medications
Self care
The student struggles to go to the bathroom on his own
The student struggles with how to ask for the bathroom
The student struggles with using signs or pictures to ask for the bathroom
The student struggles with wearing a diaper
The student struggles to get dressed on his own
The student struggles to undress on his own
The student struggles to wear shoes or socks on his own
The student suffers from taking off his shoes or socks on his own
The student struggles to close the zipper on his own
The student struggles with buttoning on his own
The student struggles to wear pants on his own
The student struggles with washing his hands and face on his own
The student struggles with brushing his teeth on his own
The student suffers from using a towel or handkerchief (tishu) on his own
The student struggles with combing his hair alone
The student struggles to prepare food on his own
The student struggles with eating alone
The student struggles to eat and drink
Other terms
What hand does the student use?
Right
Left
What hand does the student use?
Right
What hand does the student use? Right
Left
What hand does the student use? Left
What are the student’s favorite rewards?
Dessert
Chips
Electronic screens
Other reinforcements
Other reinforcements
Sensory disturbances
The student suffers from frequent hand flapping
The student suffers from walking on the tips of his feet frequently
The student suffers from excessive sensitivity to loud sounds
The student suffers from paying close attention to weak and monotonous sounds
The student suffers from a passion for lights
The student experiences discomfort from physical contact such as hugging
The student experiences discomfort from physical contact such as hugging
The student suffers from not wanting to wear clothes
The student suffers from looking at things sideways
The student suffers from bringing objects closer to the eye and staring at them
The student suffers from a fear of swinging or rapidly rotating toys
The student suffers from harm to himself or others
The student suffers from making incomprehensible sounds and tones
The student has difficulty chewing food
The student has difficulty swallowing food
The student suffers from hypersensitivity to strong odors
The student suffers from exaggeration in smelling all things
The student suffers from eating things that are not intended for eating
The student suffers from stereotypes and daily routine
The student suffers from a lack of fear of risks
Speech and language disturbances
The student does not have the ability to tell a complex story
The student does not have the ability to tell a simple story
The student has no ability to deduce
The student cannot form a sentence of 4-5 words
The student cannot form a sentence of three words
The student cannot form a sentence of two words
The student cannot pronounce a single word
The student cannot repeat sentences
The student cannot repeat words
The student cannot repeat sounds
The student cannot understand a three-word sentence
The student cannot understand simple commands such as (stop - sit - come)
The student cannot understand compound commands such as (bring a pen and color with it)
The student cannot express what he wants through a sentence of three words
The student cannot express what he wants through single words
The student cannot express what he wants through body language and gestures
The student cannot know his name when asked, “What is your name?”
The student cannot find out his address and phone number when asked about this
The student cannot make eye contact with the speaker for 5 consecutive seconds
The student cannot pay attention when his name is called
The student cannot distinguish one sound from several overlapping sounds
The student cannot pay attention to anything heard or seen
Behavioral problems
The student suffers from ADHD
The student suffers from attachment to electronic screens
The student suffers from stubbornness or failure to obey orders
The student suffers from aggression and love of violence
The student suffers from throwing things on the ground
The student suffers from throwing himself on the ground
The student suffers from vandalizing and breaking things
The student suffers from thumb sucking
The student suffers from spitting on others
The student suffers from the behavior of biting himself or others
The student suffers from any sexual disorders
The student suffers from excessive crying and screaming
The student suffers from exposing his private parts in front of others
The student suffers from the inability to express the need to use the bathroom
The student noticeably suffers from talking to himself
The student suffers from fear of strangers, animals, or others
The student suffers from a fear of heights, elevators, or anything else
The student suffers from being isolated from others
The student suffers from a lack of perseverance in performing tasks
The student suffers from binge and voracious eating
The student suffers from a lack of desire for food
The student suffers from taking things (that he does not have the right to) without asking for permission
The student suffers from constant lying and arguing
The student suffers from nail biting
The student suffers from bullying
The student suffers from severe mood swings
The student suffers from dependence on others
The student suffers from excessive jealousy
Learning disabilities
Does not have the ability to continue performing the task or activity
He does not have the ability to concentrate and pay attention
He finds it difficult to understand instructions
He finds it difficult to carry out instructions
He finds it difficult to read in general
He finds it difficult to perform calculations
He finds it difficult to write words correctly
His linguistic vocabulary is very limited
He does not have the ability to follow the class discussion
He does not have the ability to copy information correctly from the book or blackboard
He finds it difficult to apply what he has learned
Reflects letters and numbers when reading and writing
He is constantly late in turning in his schoolwork
He needs more time to learn new tasks than his colleagues
Unable to remember the printed word
He finds it difficult to recognize letters and numbers
He finds it difficult to distinguish sizes
He finds it difficult to distinguish (right - left - up - down)
He has poor auditory memory
He has difficulty distinguishing auditory stimuli
His motor coordination in general is very weak
He has poor visual memory
His ability to use his hands is very weak
The student's strengths from the parents' point of view
Basic points of need from the parents’ point of view
Guardian's signature
Clear Signature
Paragraph Text
Dear honorable families,
We thank you for your willingness to participate in the professional interview dedicated to clarifying the working hours and our programs that suit your dear child. Please note that the duration of the interview will be 15 minutes, and during this time the following matters will be addressed:
1. Definition of manager: - The manager will introduce himself by mentioning his name and profession to create a comfortable and transparent environment.
2. Specific items: - The items you selected in the form that we would like to discuss will be presented. - Matters of common interest and the need to understand how our programs fit the needs of your precious child will be reviewed.
3. Inquiries and clarification: - The manager gives you the opportunity to ask any questions or request clarification regarding the system or programs. -We will be happy to provide any additional information you may need.
Interview objective: Our goal in this interview is to clarify the working hours and our programs that are compatible with the needs and aspirations of your honorable child. Please keep in mind that this interview is not for the purpose of evaluating the student, but rather to provide the necessary information to ensure an effective and comfortable learning experience for our children.
We appreciate your understanding and cooperation, and look forward to meeting you at the interview.
Sincerely,
Genius Factory Academy
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