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Desoto/ Parent Assessment PreK3-K
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Applicant Name
Your answer
Parent/ Guardian Name
Your answer
Parent/ Guardian Email
Your answer
Please provide your assessment of your child at home and in social setting. Does your child play cooperatively with other children?
Choose
Always
Sometimes
Never
Does your child enjoy playing alone?
Choose
Always
Sometimes
Never
Does your child separate easily from you?
Choose
Always
Sometimes
Never
Do others easily understand what your child says?
Choose
Always
Sometimes
Never
Is your child potty-trained?
Choose
Always
Sometimes
Never
Does your child enjoy sitting and listening to a story?
Choose
Always
Sometimes
Never
Do you give your child a job and they can do it without redirection?
Choose
Always
Sometimes
Never
Does your child look at you when you speak?
Choose
Always
Sometimes
Never
Does your child use a loud voice when talking one on one?
Choose
Always
Sometimes
Never
Are there things that really bother your child? Tags, socks, foods, etc.?
Yes
No
Other:
Does your child have a security blanket?
Yes
No
Has your child ever been in an educational setting?
Yes
No
Other:
Have you enrolled your child in any therapies?
Yes
No
Other:
Does your child have medical issues that the teacher should know before the child enters the classroom?
Yes
No
Other:
Has your child experienced significant family changes?
Yes
No
Other:
Is your child adopted?
Yes
No
Does your child enjoy music?
Choose
Always
Sometimes
Never
Does your child enjoy outdoor play?
Choose
Always
Sometimes
Never
Does your child enjoy coloring?
Choose
Always
Sometimes
Never
Does your child have a big imagination?
Choose
Always
Sometimes
Never
Does your child like to learn new words?
Choose
Always
Sometimes
Never
Is there anything you need to add so we can take the best care of your child?
Your answer
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