Kestrels Student Success Form
About Your Kestrel
Student Name
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First Name
Last Name
Grade
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Please Select
2nd
3rd
4th
5th
Age
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Birthdate
*
How long have they been homeschooling?
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Reading Snapshot
Which best describes your child's independent reading right now?
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Beginning/early reader
Reads simple chapter books
Reads most age-appropriate chapter books independently
Strong/advanced reader
Reading independently is difficult or frustrating
I'm not sure
Which areas could use additional support? (Select all that apply)
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Decoding unfamiliar words
Phonic
Reading fluency
Reading aloud confidently
Vocabulary
Reading comprehension
Remembering what was read
Narrating/summarizing
Making inferences
Sustaining attention while reading
None that I'm aware of
Other
Does your child avoid or resist reading?
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Frequently
Sometimes
Rarely
Never
Which skills would you like to see strengthened this year?
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Handwriting/letter formation
Writing Stamina
Copywork
Spelling
Capitalization/punctuation
Writing complete sentences
Organizing Thoughts
Paragraph writing
Grammar
Getting ideas onto paper
Oral narration before writing
Other
Approximately how much can your child comfortably write independently?
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A few words
1-2 sentences
3-5 sentences
A paragraph
Multiple paragraphs
Math Snapshot
What skills can your child do fairly independently (select all that apply)
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Count/read/write numbers to 100
Count/read/write numbers beyond 100
Understand place value
Add within 20
Subtract within 20
Add multi-digit numbers
Subtract multi-digit numbers
Understand multiplication conceptually
Recall multiplication facts
Work with fractions
Tell time
Count/use money
Understand measurement
Solve basic word problems
Solve multi-step word problems
Which areas tend to cause frustration or require the most support? (select all that apply)
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Count/read/write numbers to 100
Count/read/write numbers beyond 100
Understand place value
Add within 20
Subtract within 20
Add multi-digit numbers
Subtract multi-digit numbers
Understand multiplication conceptually
Recall multiplication facts
Work with fractions
Tell time
Count/use money
Understand measurement
Solve basic word problems
Solve multi-step word problems
Learning + Foundational Skills
Does your child have difficulty with any of the following?
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Following multi-step directions
Remembering instructions
Staying seated when needed
Sustaining attention
Beginning a task independently
Completing a task
Transitioning between activities
Organization
Working when something feels difficult
Fine motor tasks/handwriting
Crossing midline
Coordination/balance
None that I've noticed
Other
When your child doesn't immediately know how to do something, what usually happens?
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Tries independently
Asks for help
Becomes frustrated but continues
Shuts down
Avoids the task
Says "I can't" before trying
Becomes silly/distracts others
Confidence + Classroom Experience
What academic subject does your child feel most confident in?
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What subject do they feel the least confident in?
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Is there anything your child believes they are "bad" at?
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Does your child tend to compare their work or abilities to peers?
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How doe they typically respond to correction?
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What helps motivate your child when work feels challenging?
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What is something your child is really GOOD at that you want us to know about?
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Support
Has your child ever received additional support in any of these areas?
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Reading intervention
Speech/language
Occupational Therapy
Math intervention/tutoring
Dyslexia-specific instruction
Handwriting/fin motor support
Educational therapy/tutoring
Other
None
Is your child currently being evaluated, assessed or referred for support in any of the following areas? (Please select all that apply. This information simply helps our teachers better understand and support your child.)
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Reading difficulties/dyslexia
Written expression/dysgraphia
Math difficulties/dyscalcula
Speech or language
Attention/executive functioning
Occupational therapy / fine motor skills
Sensory processing
Developmental or learning differences
Social-emotional or behavioral support
Other
An evaluation has been recommended, but has not yet begun
No current evaluations or referrals
Prefer not to answer
Is there anything that you would like our teachers to know that might best support your child in any area?
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Your Goals for Kestrels
If we could help your child make meaningful progress in THREE areas this year, what would you choose?
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Reading confidence
Reading fluency
Reading comprehension
Writing
Handwriting
Spelling
Math facts
Math confidence
Problem Solving
Attention/focus
Following directions
Independence
Organization
Perseverance
Confidence as a learner
Communication
Friendship/social confidence
Other
What is the #1 thing you hope we understand about your child as they enter Kestrels?
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