1. What FOODS does your child especially like? ________________________________________________________________________________________________________ 2. Especially DISLIKE? _______________________________________________________________________________________________________ 3. Favorite toys, games, and activities? ________________________________________________________________________________________________________ 4. Is your child TOILET TRAINED? _______ What words does your child use for toilet?__________________________________________________________________________________________________ 5. How does your child express ANGER or frustration? _______________________________________________________________________________________________________ 6. Does your child have any special FEARS? ________________________________________________________________________________________________________ 7. When your child is upset, what helps to COMFORT him/her? _______________________________________________________________________________________________________ 8. How do you DISCIPLINE your child? ______________________________________________________________________________________________________ 9. Has your child been taking an afternoon NAP? _______If so, how long?_____________________________________ If not why?____________________________________________________________________________________________ 10.Special toy or blanket for NAP?_______________________________________________________________________ 11. Special FAMILY situations? (such as custody specifications, etc.) ______________________________________________________________________________________________________ 12. Anticipated ADJUSTMENT problems? _____________________________________________________________________________________________________ 13. Any disorders/developmental (slow, advanced) diagnosed or suspected? _____________________________________________________________________________________________________ 14. Previous child care attended: _______________________________________________________________________________________________________ 15. Any problems at previous daycare? _____________________________________________________________________________________________________ 16. EXPECTATIONS at Color Me Happy Daycare__________________________________________________________ ______________________________________________________________________________________________________ _______________________________________________________________________________________________________ 17. Other COMMENTS?_________________________________________________________________________________ _____________________________________________________________________________________________________ ________________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ _______________________________________________________________________________________________________ |
| ABOUT YOUR CHILD |
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