Parent Survey Getting to Know your Child Child’s Full Name: First Last Nickname: Language/s spoken at home: Adult’s in child’s life that have a big impact on child: Please include name and relation: Does child have siblings? If yes, name and age: List 3-5 words that describes your child’s character:(cheerful, shy, outgoing…): What motivates your child: What are your child’s strengths: Do you have any special concerns about you child: (academically, socially, medically….): What are two goals you would like to see your child work towards: Child’s Favorite: Food/s: Child’s Favorite: Color/s: Child’s Favorite: Song/s: Child’s Favorite: Person: If you would like to add more helpful information about your child or family, please use the back of this sheet. Our communication is the key to your child’s success.
