Participant Information Inclusion Form Fields marked with an * are required "*" indicates required fields Name* First Last Today's Date* MM slash DD slash YYYY Date of Birth* MM slash DD slash YYYY Disability/Diagnosis*Things that I am good at/like to do:*Things that I am not so good at/don't like to do:*I communicate by using:*Help me understand what you want me to do by:*My social skills with my peers are:Things that make me happy:*Things that make me sad or mad are:*You can tell that I am frustrated/upset when I:*Things you can do to help me calm down:*Behavior management techniques that work for me:*My swimming skills are:*Medical issues for me are (i.e. seizures, medications, etc.):*My goals for the program are:*CAPTCHA
