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Dear Parents,
Please complete this survey so that I can have a better understanding of your child. The answers are strictly for my benefit to serve your child in a nurturing environment. I truly want their pre-kindergarten experience to be one they will always remember. Thank you.
 
 
 
 
How would you describe your child?
 
Outgoing
 
Shy
 
Other
 
 
 
 
My child learns better...
 
Visually
 
Hands on
 
Hearing (spoken word or read to)
 
Other
 
 
 
 
How much does your child watch television in a day?
 
1-2 hours
 
3-5 hours
 
Other
 
 
 
 
How do you handle behavior issues in the home?
 
Time outs
 
No television
 
No toys
 
Early Bedtime
 
Other
 
 
 
 
When your child is upset, what is the better way to calm them?
 
Sitting in a quiet area in the classroom
 
Talking to an adult
 
Engaging in an activity
 
Other
 
 
 
 
When outside, does your child play:
 
With other children
 
Stick by you or another adult
 
Play alone
 
Other