{"text":"PERSONAL INFORMATION ON CHILD\/REN \nWhat is the child usually \ncalled? \nG4y \nWith whom has the child \nbeen living? \n[kl \nWhich address does the child \nregard as \u2018Home\u2122? \n% \ufb02za\u00e9ao,{w. \nAny special friends? \nSchool\/Nursery\/Play-group \nattended \nClub or Youth Organisatior; \nevimradiy Potine,, \nvV Jd \nShort report on personal \nfunctioning - sleeping, eating and \nbathroom habits, fears, temper \ntantrums, relationships, special \ntoys, bowel and bladder control, \netc. \nFAMILY INFORMATION \nMOTHER \nFATHER \nFull Name (include Maiden \nName of Mother) \nGerclon Sanoty, \nAddress and Telephone no. \nsozu\u2018% blud 2o \nDate of Birth \n2% .%5.52 \n< \nOccupation \nEmployer (for emergency contact) \nReligion \nDate of Marriage \nDate of Separation or 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