COURSE

Were all bowel movements normal in consistency and schedule since your last lesson?*

Was urine output NORMAL, MORE or LESS than usual 1 HOUR after the last lesson?*

Has urination frequency / amount been normal since the last lesson?*

Was your child's sleep/nap schedule typical since the last lesson?*

Has there been any changes to your child's activity / energy levels or normal routine since the last lesson?*

Has your child been swimming or in water ( other than bathing) since the last lesson?*

Has your child had any illnesses, seizures, fever (37 or more), vomiting or skin rashes since the last swim lesson?*

Has your child had any injuries or required any medical attention (including DR. appointments)?*

Has your child taken any medication since the last lesson?*