Kindergarten Parent Questionnaire

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for taking the time to share some information about your child. This questionnaire will help your child's teacher become acquainted with students at the start of the school year. Please complete the form as soon as possible. We look forward to partnering with you.

Child's Name: *

Name of the person filling out the questionnaire: *

Email of the person filling out the form:

Relationship to Child:

Child's Address:

Phone Number to best reach you on:

Has your child attended preschool?

Yes

Clear selection

If yes, where did they attend preschool and for how long? Did they enjoy the this experience?

If you child did not attend a preschool, did they attend a day care?

Yes

Clear selection

If yes, where did they attend the day care and for how long? Did they enjoy this experience?

What are some things that bring your child joy?

What are some activities your child enjoys?

How does your child respond when he/she is emotionally upset?

How does your child enter new or unfamiliar situations?

Independently joins in new activity/situation

Initialy hesitant until comfortable

Always clings to a familiar adult

How does your child feel about entering kindergarten?

Excited

Eager but Somewhat apprehensive

Anxious

Affraid

Other (please explain) ____________________________________________________________________

Did your child receive Early Intervention Services?

Yes

If your child received Early Intervention Services please list in what area(s) and for how long.

Is there anything else you would like us to know about your child?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Webutuck. Report Abuse

Forms