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Child and Family Questionnaire

Information that helps home and school work together in the child's best interest.

Session HKA-20260716-MMF3A7XSVTX5draftSaved

About Your Child and Family

Parents are children's first teachers. Please share information that will help home and school work together in your child's best interest.

Child's full name *

Date *

1. What are your child's favorite play materials at home?

2. What pets does your child or family have?

3. What responsibilities does your child have at home?

4. What kind of discipline does your child respond to best?

5. What activities does your child enjoy doing with parents?

6. Does your child have brothers or sisters? Please describe.

7. Does anyone else live in the home?

8. What languages are spoken in the home?

9. What are your child's strengths?

10. Are there any concerns about your child's development?

11. Does your child have any fears?

12. Does your child have allergies, physical concerns, or frequent illnesses?

13. Is there anything else you would like us to know about your child?

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Submitting finalizes this session. Review every answer before continuing.