Date of Report (mm/dd/yy):
Date EASe sessions began (mm/dd/yy):
Length of each session:
Number of sessions per day:
Number of days:
Time of day per session:
What equipment did you use?
Where did you use it?
Did your child enjoy listening?
What was the best thing about this program?
What was the worst thing about this program?
What results do you attribute to this program?
How long have the results lasted?
Comments:
Thank you for taking the time to fill out this report!