Curiosity Corner Preschool Parent Questionnaire Form

This questionnaire will help your child's teacher understand more about your child to help him or her grow socially, emotionally, and academically this school year. Thank you for your time to complete this questionnaire.

Child's Full Name

Age

Gender (required) Male Female

Sibling's Ages

People Living in Household

Have there been any experiences that might affect your child?

Developmental History

Does your child have any health or social/emotional concerns you would like to share? Yes No

Does your child have frequent or chronic illnesses such as headaches or ear infections? (required) Yes No

Does your child have any allergies? (required) Yes No

Any other medical conditions we should be aware of? (required) Yes No

Do you regularly read to your child? (required) Yes No

Does your child sing songs or say rhymes? (required) Yes No

Has your child had experiences with crayons/paints? (required) Yes No

Has your child had experiences with scissors? (required) Yes No

Favorite toys and activities at home:

Has your child ever been separated from you? (required) Yes No

Does your child have previous group experiences? (required) Yes No

What qualities do you like most in your child?

What is your usual form of discipline?

What do you hope your child will accomplish in preschool?

Is there any special way we can help you or your child?

Are there any additional comments that would help us better know your child?

Security Check - To verify you are not a robot, please answer this question:

(fetching question...)