This
questionnaire is for my personal files on your child. Please fill out and return when you come to Open House.
Thank you!
Name of
Child________________________________Birthdate________
Name
Child Goes By___________________________________
Name of
Mother_____________________________Occupation________
Name of
Father_____________________________Occupation________
Address________________________________Home
phone__________
Work
No., Cell No. Father_____________________________________
Work
No., Cell No. Mother_____________________________________
Describe
your child’s personality (Strengths, weaknesses, areas needing improvement):
_________________________________________________________
_________________________________________________________
_________________________________________________________
ALLERGIES,
SPECIAL CONDITIONS, FEARS, ETC:
_________________________________________________________
_________________________________________________________
Did your child attend Pre-K? (Please attach a copy of the Pre-K report card.
________________________________________________________
Does your child know the alphabet and sounds?______________________
Numbers?_________________________________________________
Can your child read?_________________________________________
Responsibilities
at Home:_______________________________________
Best
way you’ve found to discipline your child:_______________________
_________________________________________________________