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Preschool Questionnaire 2012-2013

Preschool Questionnaire 2012-2013

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<strong>Preschool</strong> <strong>Questionnaire</strong><br />

<strong>2012</strong>-<strong>2013</strong><br />

Child’s Name: __________________________________________________________________ Date: ____________________________<br />

GENERAL INFORMATION<br />

Has your child had any serious illnesses, operations, accidents, or hospital experiences? _______________<br />

Explain: __________________________________________________________________________________________________________<br />

What was the child’s reaction to this experience? ____________________________________________________________<br />

____________________________________________________________________________________________________________________<br />

Does he/she have any fears the teacher should know about? _______________________________________________<br />

____________________________________________________________________________________________________________________<br />

Describe his/her usual sleep habits? __________________________________________________________________________<br />

____________________________________________________________________________________________________________________<br />

Is your child able to take care of his/her bathroom needs? _________________________________________________<br />

Does your child dress him/herself? ___________________________________________________________________________<br />

What are your child’s responsibilities at home? _____________________________________________________________<br />

What, if any, special help does your child need? _____________________________________________________________<br />

OVER<br />

<strong>Preschool</strong> at Trinity ~1150 W Cavour Ave., Fergus Falls, MN 56537 ~ Phone: 218-736-5847 ~ E-mail: trinity@prtel.com ~ www.trinityff.org/school


DISCIPLINE AND HABITS<br />

Is the child easily managed or hard to manage? _____________________________________________________________<br />

What methods of discipline have you found to be most effective? _________________________________________<br />

____________________________________________________________________________________________________________________<br />

How does your child react to control and correction? _______________________________________________________<br />

____________________________________________________________________________________________________________________<br />

FAMILY AND PLAY INFORMATION<br />

What activities does the child enjoy doing with family members? _________________________________________<br />

____________________________________________________________________________________________________________________<br />

Does the child play with other children? _____________________________________________________________________<br />

Does your child usually play with boys or girls and what ages are these children? ______________________<br />

___________________________________________________________________________________________________________________<br />

Does the child usually play alone? ____________________________________________________________________________<br />

Does the child have imaginary playmates? __________________________________________________________________<br />

What type of play would you describe as being the child’s favorite? ______________________________________<br />

__________________________________________________________________________________________________________________<br />

<strong>Preschool</strong> at Trinity ~1150 W Cavour Ave., Fergus Falls, MN 56537 ~ Phone: 218-736-5847 ~ E-mail: trinity@prtel.com ~ www.trinityff.org/school

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