Parent Questionnaire

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Student Information Sheet for Teacher
Dear Parents: Please complete this form by the first day of school so that we can
better reach and teach your child. Your insight is very valuable to us, as you know your
child best!
Student Name________________________________
Nickname______________________Birthday_______
Allergies or health concerns______________________
__________________________________________
What does your child like to do at home?____________
__________________________________________
Is your child in any extracurricular activities?_________
__________________________________________
What is your child most interested in?______________
__________________________________________
What kind of rewards/reinforcements does your child respond
to?
Do you have any concerns as your child enters preschool this
year?
What are your goals for your child this year?______________
________________________________________________
Does or has your child attended another preschool/daycare?
Where/When?__________________________________
__________________________________________
Do you have anything else you would like us to know about
your child?__________________________________________
______________________________________________
Parents/Guardians__________________________
Siblings/ Ages_______________________________
Pets?_____________________________________
Best number to reach you at:____________________
Email address:_______________________________
Thank you from your teachers at Cedarburg Preschool.
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