Round Hill Elementary Kindergarten Student Questionnaire 2024-2025
Dear Parents and Guardians,
The information collected within this questionnaire will be used to support the placement of all students entering kindergarten this school year.  It will also help the kindergarten teachers get to know a bit about your child(ren) prior to the start of school.  We are excited to have your child(ren) join our school community and look forward to working with you this school year.
Kindest Regards,
The Kindergarten Team
Mrs. Hash, Mrs. Rinehart, Mrs. Sheffer, and Mrs. Shipp
Sign in to Google to save your progress. Learn more
Email *
1.  Parents/guardians first and last names
2.  Child's first and last name
3.  What name would you like your child to be called by at school?
4.  Does your child have any known allergies, medical, or social-emotional concerns?
5. Is a second language spoken in the home? Yes or No (If yes, please name the language.)
6.  What four words best describe your child?
7.  How old will your child be when they begin kindergarten in August? (Please use years and months i.e. 5 years 3 months)
8.  Does your child attend preschool? If yes, please name the school.
9.  How many days a week do they attend preschool?
Clear selection
10.  Has your child experienced any adjustment concerns while attending preschool? If yes, please explain how they were supported to work through these.
11.  Does your child attend daycare?
Clear selection
12. Does your child participate in any extracurricular activities?  
13.   What does your child like to play inside?  Outside?
14.  Does your child have access to technology at home?  If yes, please list the devices they use.
15.  What do you hope your child will learn in kindergarten?
16.  Are there any other children entering kindergarten this year that your child may not work well with?
17.  Is there anything else you'd like to share about your child to help us get to know them better?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Loudoun County Public Schools. Report Abuse
Google Forms