RIS Parental Pre-Registration Questionnaire

RIS Parent Pre-Registration Questionnaire

EARLY CHILDHOOD PROGRAM

 

Dear Parents and Guardians,

We are delighted that you are interested in enrolling your child in the early childhood program at RIS.
The purpose os this questionnaire is to obtain information about your child’s physical, social, academic and emotional development prior to registration. The information you give will be used in the screening and placement process.

PreSchool is a pre-kindergarten program. The program runs from 8:00 am to 3:20 pm. A child must be 4 years old by September 30 to be accepted into this program.

Personality

Developmental History

Language
If your child has previously attended school, how much instructional time each day was conducted in English?

Motor

Have there been concern about your child’s motor development?
E.g walking late, balance or coordination problems, difculty holding pencil or with writing or handling small objects.

Social Development

Put an "X" in the box that best describes your child.
Sticks to one activity (e.g. listen to story) for at least 15 minutes at a time.
Accepts own limits without getting upset.
Plays well with other children. Takes turns and shares.
Stops an activity when parents say to stop.
Does what is asked by a parent.
Separately easily from parent/care giver.
Has temper tantrums.
Is easily frustrated and cries often.
Notices other people’s feelings.
Waits to hear the whole question before answering.
Likes to be with others.

Family Information

Routines

Toileting Information
a) Is your child toilet-trained during the day?
b) Can your child visit the toilet alone?
Requires assistance:
c) Can your child independently recognize the need to use the toilet and do so accordingly?

Sleeping habits

Eating habits