Child's InformationChild's Name* First Last Is there anything your child might bring up in class that we should know about beforehand (i.e. adoption, unique living situation, trauma etc.)?* Yes No Child's Naptime Child’s favorite toys, games, books, etc*Is your child toilet trained?* Yes No Is any language (other than English) spoken at home?* Yes No Child's Siblings (please list their names and ages)Are there other adults living at home with you?* Are there any concerns you have regarding your child’s social, cognitive or physical development? Has your child been referred for an evaluation or is your child receiving services? Please specify.School QuestionnaireWill this be your child’s first school experience?* Yes No Did you already go through an adjustment to school with another child?* Yes No Have you thought about how it will be to say goodbye to your child when he/she attends preschool in the fall?Comments Δ
