HOME
MY JOURNEY....
AS A SPECIAL NEEDS MUM
WITH WEIGHTLOSS & MINDSET
ITS MY TIME COURSE
WEDDINGS
VSP
VSP INFORMATION
VSP VENUES
VSP FEEDBACK
VSP TRAINING
CONTACT
ABOUT ME
Name of Person Making the Booking
*
Date of booking
*
Time of Booking
How many guests in total are in your party (including VSPs)?
How many VSPs (Very Special Persons) are in your group? Please fill out a form for each VSP
What is your VSP’s name or nickname?
Gender of VSP
Male
Female
Prefer not to say
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Age of VSP
Under 10
11 - 29
Over 21
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Does your VSP require
Wheelchair Access
Braile Menu
Does your VSP use Lamh Sign Language
Yes
No
Sometimes
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Which of the following best describe your VSP’s needs? Please tick all that apply.
Autism, ADHD, ADD
Down Syndrome
ARFID (Avoidant/Restrictive Food Intake Disorder)
Anxiety (e.g. with crowds, noise)
Wheelchair user
Other
Would you prefer to be seated in a quieter part of the restaurant? (Subject to availability)
Seating on our own if possible
Seating in quieter area
Dont mind where we sit
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How does your VSP prefer social interaction?
They enjoy attention and interaction
They prefer minimal interaction
Depends on their mood/day
Not sure
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Would you like your VSP’s meal order to be taken and served more quickly than the rest of the table? (This can be helpful for VSPs who find waiting difficult.)
Id like to order in advance so food is ready on arrival
I would like their order to be prioritized and served asap
Their order can come with ours
We will decide when we get there
Is there anything else we should know to make your visit as smooth and comfortable as possible?
