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Montrose - Getting to Know You 2021-2022
Greetings Montrose Families!
Please help us get to know your child better. The information provided below will be shared with our school nurse and your child's teacher, and will also be used to make informed decisions about class placements.
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* Indicates required question
Email
*
Your email
Student Name (Last, First)
*
Your answer
Nickname or Preferred Name (if any)
Your answer
With which gender does your child most identify?
*
Male
Female
Transgender male
Transgender female
Gender non-conforming
Gender binary
Prefer not to answer
Has your child ever attended school?
*
Yes
No
If yes, where has your child attended school?
Your answer
Parent/Guardian 1: Name & Email
*
Your answer
Parent/Guardian 2: Name & Email
Your answer
Is your child a twin? *
*
Yes
No
If yes, what is the twin's name?
Your answer
Does your child have any siblings that will be attending Montrose in 2021-2022?
*
Yes
No
If you responded YES to having other children that will be attending Montrose in 2019-2020, please tell us their name(s).
Your answer
How does your child handle separation or transition?
*
Separation and transitions are no problem
1
2
3
4
5
Separation and transitions are extremely difficult
Does your child currently nap during the day?
*
Yes
No
Is your child toilet trained?
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Yes
No
How independent is your child with toileting
*
Needs lots of help
1
2
3
4
5
"I've got this - all by myself!"
How active (generally) is your child?
*
Happiest when still
1
2
3
4
5
Happiest when moving
General disposition
*
Moody or brooding
1
2
3
4
5
Sunny or cheerful
Medical Concerns (check all that apply)
*
My child has an EPIPEN
My child uses an INHALER
My child requires medication during the school day
My child requires medication in specific situations only
My child has a chronic health condition I would like to discuss with the nurse.
My child has no known medical conditions
Other:
Required
How does your child behave when they are tired?
*
Your answer
Has your child ever been evaluated by or worked with any of the following? (Check all that apply)
*
Psychologist
Social Worker
Occupational Therapist
Speech Therapist
Physical Therapist
Audiologist
Developmental Interventionist
None
Other:
Required
If your child has worked with any of the specialists listed above, are you willing to arrange a phone conference with us?
*
Yes, I'd like to arrange a phone conference
No, I'd rather not share
Not applicable
Does your child currently have an IEP or IFSP?
*
Yes
No
Please provide us with any other relevant information that might help us get to know your child and their needs. Is there anything else that might affect your child’s adjustment such as unique family circumstances, likes, dislikes, fears, etc?
*
Your answer
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