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Reflex Screening Questionnaire

The INPP Reflex Screening Questionnaire is an initial assessment tool designed for parents and caregivers. Its purpose is to help identify individual signs of neuromotor immaturity—primitive reflexes that should have matured in infancy. By answering these questions, you provide a clear overview of your child's physical foundations, helping us determine if further diagnostic steps are needed to support their learning and emotional development.

How to Score: Please answer each question.

​Research published in the British Journal of Occupational Therapy has shown that a score of 7 or more 'yes' answers on this questionnaire indicates that further investigation for underlying neuro-motor immaturity is advised for children over 7 years of age. This questionnaire is specifically looking at neuromotor immaturity.

Childs Date of Birth
Day
Month
Year

IINPP Screening Questionnaire


Devised by Blythe & McGovern. (c) 1979, 1998. Amended Goddard Blythe 2006.


Part 1 - Neurological

Historical Infancy

Is there any history of learning difficulties in either parent or their families?
Was your child conceived as a result of IVF?
When you were pregnant, did you have any medical problems? e.g. High blood pressure, excessive vomiting, threatened miscarriage, sever viral infection, sever emotional stress?
Was your child born early or late for term?
Was the birth process unusual or difficult in any way?
When your child was born, was he/she small for term?
When he/she was born, was there anything unusual about him/her? The skull distorted, heavy bruising, definitely blue, heavily jaundiced, covered with a calcium-type coating or require intensive care?
In the first 13 weeks of your child's life, did he/she have difficulty in sucking, feeding problems, keeping food down or colic?
In the first 6 months of your child's life, was he/she a very still baby, so still that at times it caused you to worry?
Between 6 months and 18 month, was your chid very active and demanding, requiring minimal sleep accompanied by continual screaming?
When your child was old enough to sit up in the pram and stand up in the cot, did he/she develop a violent rocking motion, so violent that either the pram or cot was actually moved?
Did your child become a "head-banger" i.e bang his/her head deliberately into solid objects?
Was your child early (before 10 months) or late (later than 16 months) at learning to walk?
Did he/she omit to go through the motor development stage of crawling on his/her tummy? (commando crawling)
Did he/she omit to go through the motor development stage of crawling or creeping on hands and knees?
Was your child late at learning to talk? (2-3 word phrases by 2 years)
In the first 18 months of life, did your child experience any illness involving high temperature and/or convulsions?
Was there any sign of infant eczema or asthma?
Was there any sign of other allergic responses?
Was there an adverse reaction to any of the childhood vaccinations?
Did your child have difficulty learning how to dress him/herself?
Did your child suck his/her thumb beyond 5 years of age?
Did your child wet the bed, albeit occasionally, above the age of 5 years?
Does your child suffer from travel sickness?
When your child went to their first formal school (primary), in the first 2 years of schooling, did he/she have problems learning to read?
In the first 2 years of formal schooling, did he/she have problems learning to write?
Did he/she have problems learning to do "joined up" or cursive writing?
Did he/she have difficulty learning to tell the time from a traditional clock face as opposed to a digital clock?
Did he/she have difficulty learning to ride a two-wheeled bicycle?
Was or is he/se an Ear, Nose, and Throat (ENT) child, i.e suffer from numerous ear infections, is a "chesty" child or suffer from sinus problems?
Did/does your child have difficulty in catching a ball, i.e eye-hand coordination problems?
Is your child one who cannot sit still, i.e. has "ants -in-the -pants" and is continually being criticized by teachers?
Does your child make numerous mistakes when copying from a book?
When your child is writing an essay or news item at school, does he/she occasionally put letters back to front or miss letters or leave words out?
If there is a sudden, unexpected noise or movement, does your child overreact?
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