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Your observations

A thoughtful starting point

We ask for your adult contact details and the observations below. Please do not add a child's name, diagnosis, medical records or other identifying details.

Body Awareness

My child sometimes stays dry for 1–2 hours. *
My child has some predictable bowel movement patterns. *
My child shows any awareness of being wet or soiled. *
My child can sit on a toilet or potty for at least a short time. *

Communication or Signaling

My child shows signs they may need to go (words, gestures, hiding, squatting, etc.). *
My child can communicate basic needs in some way (speech, signs, AAC, pointing). *
My child can follow simple directions like “sit” or “come here”. *

Learning & Routine Skills

My child can sit briefly for structured activities (snack, book, short task). *
My child sometimes imitates adults or siblings. *
My child shows curiosity about the bathroom or toilet. *

Sensory & Emotional Regulation

My child can enter the bathroom without strong distress. *
My child can transition away from an activity with support. *
My child can recover from frustration with help. *

Caregiver Readiness

These caregiver questions are optional.

I can observe and track toileting patterns for several days.
I can create a consistent bathroom routine during the day.
I am prepared to respond calmly and consistently to accidents.
Before you send

These observations may reveal sensitive information about a child. We store your name, email, answers and consent record in Base44 and use FormSubmit to forward them to Sabrina Verost's business Gmail inbox for review and a response about educational support.

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Submitting does not enroll you in marketing or create a payment obligation.

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