Reading Time: < 1 minute Your name Your age Gender SelectMaleFemaleOther PTCL Number / Cell Number WhatsApp Number Email ID Emergency Contact Person Name Relation with Emergency Contact Person Emergency Contact Number Country State/City Languages you Speak Onset Age of Stuttering (Age when stuttering started) History of Previous Treatment Related to StutteringSelectYesNo If Yes, then specify the type of treatment SelectMedication (Allopathic)HomeopathicHerbalSpeech TherapyAny Other Have you ever experienced any kind of Group Therapy sessions for managing your stuttering? SelectYesNo Your expectation regarding support and self help group session. From where you get information about SAY Global-Pakistan Stammering Foundation ? SelectFacebookInstagramTwitterWhatsappLinkedinEmailYoutubeSnapchatFriendOther This form was filled by SelectSelfMotherFatherOther We accept Terms and Conditions
