2021-22 Parent/Guardian Survey for Gifted/Talented Screening: Things My Child Has Done
This survey is to help us better understand your child. Carefully read each of the descriptions. Each item is followed by a series of examples. Use these examples to help understand the description in the item. Decide how much you agree that your child is like the description. If you feel your child matches the description, provide a personal example about a time your child demonstrated the description. Recall specific incidents or examples about your child. You need not provide an example for every statement. If you would like to provide more stories or examples to tell us more about your child, please send to Kristine Milburn, EdD (GT Coordinator/Lead) milburnk@wdmcs.org. (Adapted from Sayler, 1994)
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What is your child's last name? *
What is your child's first name? *
What is your child's current grade level? *
K, 1st, 2nd, 3rd, 4th, 5th, 6th, 7th, 8th, 9th
What is your child's school? *
What is your full name? *
What is your relationship to the child? *
What is your preferred mailing address? *
Has quick recall of information. (For example, immediately remembers facts, a series of numbers, events, words from songs or movies, or parts of conversations heard earlier.) Provide a specific example.
Knows a lot more about some topics than do other children that age. (For example, recounts facts about dinosaurs, sports, electronics, math, books, animals, music, art; or finds out a lot about a particular subject on his/her own.) Provide a specific example.
Uses advanced vocabulary. (For example, surprises older children and adults with the big words used; uses words unusual for a child; knows the correct terms, exact words, or labels for things; acts and speaks like a grown-up when talking to adults; uses simpler words when talking to peers or younger children.) Provide a specific example
Began to read or write early. (For example, said or could read individual words at a very young age, started to read before entering school, likes to write or tell stories, learned to read without being taught.) Provide a specific example.
Shows unusually intense interest and enjoyment when learning about new things. (For example, has lots of energy and interest when learning; frequently and persistently asks how and why questions; is not satisfied with simple answers and wants to know detail; loves how to do it and non-fiction books.) Provide a specific example.
Understands things well enough to teach others. (For example, teaches other children how to do things, explains things so that others can understand, explains areas of interest to adults.) Provide a specific example.
Is comfortable around adults. (For example, spends time with and talks to adults who visit the house, likes the company of adults, enjoys talking with adults, understands adult humor, and creates funny sayings or jokes adults can appreciate.) Provide a specific example.
Shows leadership abilities. (For example, other children ask my child for help; organizes games and activities for self and others; makes up the rules; and directs group activities; may be bossy.) Provide a specific example.
Is resourceful and improvises well. (For example, puts together various household objects to make inventions or solve a problem, uses unusual objects for projects, uses objects in unusual ways, makes "something out of nothing.") Provide a specific example.
Uses imaginative methods to accomplish tasks. (For example, makes creative shortcuts, doesn't always follow the rules, good at finding creative ways to get out of work.) Provide a specific example.
Use the space below to tell us anything you think is important about this child that we have not asked about. Please feel free to add any information you think might be useful in giving us a clearer picture of what the child is like. Be as specific as possible in describing the child's interests and accomplishments. If you can share some copies of this child's creative work, we would be delighted to have them.
Please send any additional information and/or examples to Kristine Milburn, EdD (GT Coordinator/Lead) milburnk@wdmcs.org OR submit to your building GT teacher.
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