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Kindergarten Placement Data
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* Indicates required question
Child first and last name
*
Your answer
Check all of the following words that describe your child's personality:
*
Independent
Outgoing
Shy
Dependent
Moody
Withdrawn
Happy
Sullen
Afraid
Flexible
Sad
Helping
Personable
Cooperative
Humorous
Frustrated
Aggressive
Other:
Required
In terms of general development, I see my child's GENERAL PHYSICAL DEVELOPMENT as:
*
Choose
below average
average
above average
In terms of general development, I see my child's FINE MOTOR SKILLS (cutting, coloring, etc.) as:
*
Choose
below average
average
above average
In terms of general development, I see my child's ACADEMIC READINESS as:
*
Choose
below average
average
above average
In terms of general development, I see my child's ABILITY TO FOLLOW DIRECTIONS as:
*
Choose
below average
average
above average
In terms of general development, I see my child's SPEECH AND LANGUAGE as:
*
Choose
below average
average
above average
In terms of general development, I see my child's ABILITY TO CONTROL EMOTIONS as:
*
Choose
below average
average
above average
My own priorities for what my child should learn in kindergarten include a POSITIVE ATTITUDE.
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highest priority
1
2
3
4
lowest priority
My own priorities for what my child should learn in kindergarten include CREATIVE EXPRESSION.
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highest priority
1
2
3
4
lowest priority
My own priorities for what my child should learn in kindergarten include APPROPRIATE SCHOOL BEHAVIOR.
*
highest priority
1
2
3
4
lowest priority
My own priorities for what my child should learn in kindergarten include BEGINNING READING AND MATH SKILLS.
*
highest priority
1
2
3
4
lowest priority
My own priorities for what my child should learn in kindergarten include ...
Your answer
What kind of activities does your child enjoy most?
Your answer
Did your child attend a formal preschool?
*
Yes
No
If yes, which preschool and for how many years?
Your answer
Please let us know anything else that will help us serve your child better:
Your answer
Parent Name
*
Your answer
Parent email
*
Your answer
Parent contact number
*
Your answer
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