Preschool Student Questionnaire
Please fill this out prior to your student starting school to help us better serve their needs!
Student Name
First Name
Last Name
Mothers Name
First Name
Last Name
Fathers Name
First Name
Last Name
Mothers Email
example@example.com
Fathers Email
example@example.com
What 3 words would you use to describe your child?
What are a few of your child's favorite activities?
Please list 3 goals for your child this year?
Does your child have younger or older siblings? If yes, what are their names and ages?
Does your child play more with friends or by themselves?
Do you have any concerns about preschool for your child?
Are there things that are hard for your child to do?
Does your child have any special needs (learning/language/behavior)?
Does your child have any health needs that we should know about?
Can your child identify their ABC's?
Yes
No
Can your child identify numbers 1-10?
Yes
No
Can your child write their name?
Yes
No
Can your child sit and listen to a story?
Yes
No
Can your child follow simple directions by different adults?
Yes
No
Any other information you would like us to know about your child before starting school?
Submit
Should be Empty: