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Parent Questionnaire
Please answer the questions to help me get to know your child from your point of view. This is great information I use all year long.
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* Indicates required question
What is your child's name?
*
Your answer
Birthday?
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MM
/
DD
/
YYYY
Parent/Guardian Names
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Your answer
What is the best way to contact you? Please provide that contact information.
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Your answer
What is your child's dismissal plans?
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Bus
Walker
Pick-Up
If riding the bus, what number? If pickup, then who is picking up?
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Your answer
Siblings:
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Your answer
What are your child's strengths?
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Your answer
What does your child need more support with?
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Your answer
How would you describe your child?
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Your answer
What are your some of your child's interests?
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Your answer
What are two goals you have for your child this year?
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Your answer
What upsets your child?
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Your answer
What is your child motivated by?
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Your answer
Is there anything else you would like me to know about your child?
*
Your answer
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