2022-23 Kindergarten Skills - Parent/Guardian Assessment
The skills listed below are necessary for your child to be ready, participate, learn and be successful in the classroom.  It is important to know exactly what your child can do on this date, so we can make sure they are given the tools they need to accomplish each of the tasks below.  Please answer if your child is completing skills TODAY Independently, With Help, or Needs More Practice for each question listed below.  
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Child you are registering - FIRST and LAST name *
Person completing this form - First and Last name *
How are you related to the child being registered? *
DOES YOUR CHILD....
Please answer each question below as honestly as possible for us to help your child have a successful Kindergarten year.  
Tells others their FIRST and LAST Name? *
Tells others their age? *
Tells others their birth date (month and date)? *
Easily separates from parents/guardians? *
Follows directions when asked by an adult? *
Acts appropriately, when they do not get their way? *
Usually shares and takes turns? *
Willingly plays in a large group or plays a game with others nicely? *
Waits for their turn to talk?
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Buttons/zips and unbuttons/unzips their jacket, shirt and/or pants? *
Washes and dries hands? *
Goes to the bathroom alone and cleans themselves without assistance?   *
Feeds themselves with a spoon or fork while holding it with their fingers?   *
Opens packages of food, such as pudding cups lunchables, ketchup packets, without assistance? *
Brushes teeth without assistance? *
Bathes with minimal assistance? *
Puts shoes on the correct feet? *
Blows their nose with a tissue? *
Uses a computer that is not a touch screen? *
Knows how to use a mouse when on the computer? *
Uses scissors to cut a straight line?   *
Knows how to hold a pencil correctly (in hand with their finger tips)? *
Has your child experienced or witnessed any kind of physical or emotional trauma from birth until now? If NO, please type NO.  If YES, please explain briefly.   *
Does your child have any type of health diagnosis, physical or mental limitations, or sensory issues?  If yes, describe briefly below AND make sure you see the nurse to complete the appropriate forms for your child.  If NO, type NO in the box below.   *
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