K-Day Parent Survey
Welcome! We're glad you're here! While your child is being screened, please answer all these questions to the best of your ability. 
You may only check one answer per question.
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Child's Name *
Parent/Guardian name(s) *
Current School *
My child follows rules and adapts to changes in the routine and new environments. *
My child is able to work independently for 5 or more minutes. *
My child is able to listen to stories without interrupting. *
My child is able to listen to a rhyme and hear similarities and differences. *
My child is able to talk in complete sentences of five or six words. *
My child is able to tell or retell a story. *
My child is able to use art tools like scissors, crayons, glue, paints, and play-dough appropriately. *
My child is able to follow two-part directions. (Ex: Hang up your coat and go sit at the table.) *
My child is able to bounce and catch a ball. *
My child is able to play well with other children, share toys and games, take turns, and respect others' property. *
My child can (and does) dress themselves. Ex: zipping pants/jackets, buttoning pants, putting on jackets, putting on shoes (not tying). *
Is there any additional information about your child that you'd like for us to know as they transition to Kindergarten? *
Does your child receive any additional services outside of school? (for example: Speech-Language Pathologist, Occupational Therapist, Psychologist, etc.) *
Will this be your child's first time in a school setting? *
Any Kindergarten questions? Please leave them here.
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