Child's first name: *
Child's surname: *
Preferred name:
Age:
Describe Gender:
Child's Home Address: *
Post Code: *
Is English your child's first language?:
Language(s) spoken:
Is your child currently attending a school or nursery?:
Child’s Current School/Nursery:
Address:
Post code:
Class Name:
Year:
What is the teacher's/key person's name?:
Important people:
Things that are important to your child:
Do you have any pets that live at home?:
Favourite song or rhyme:
My best friend is:
Favourite Film or TV Programme:
Favourite Story:
Things that make your child happy:
Things your child likes do to at home:
Things that make your child worried or sad:
How does your child usually sleep?:
What times does your child usually nap and for how long?:
How well does your child speak?:
Does your child see well?:
Does your child hear well?:
What is your child's favourite foods?:
What does your child like to drink?:
What does your child enjoy listening to? (CL): *
Does your child enjoy listening to songs and do they try to join in with these? (CL):
Can your child listen with interest when adults read stories to them? (CL):
Is your child able to understand and follow instructions? (CL):
How confident is your child when talking with adults and children? (CL):
Is your child able to ask for help, for example when using the toilet, dressing, pouring drinks and choosing activities when presented with several choices. Are they confident enough to ask for help? (CL):
Is your child able to talk freely about their interests or experiences. For example, special toys, visits and/or routines at home? (CL):
How do you know they are enjoying these experiences? (can you briefly describe their reactions/responses?) (CL):
How does your child communicate/interact? For example eye contact, vocalising, smiling, facial expressions, crying, babbling or emerging language? (CL):
How mobile is your child? For example, can they crawl, bottom shuffle, walk, run, skip, jump, hop. (PD):
What ‘larger’ toys does your child enjoy playing with e.g. ride-on toys, balls, swings etc? (PD):
What ‘smaller’ items/toys does your child enjoy exploring (ones that require intricate use of ‘hand/eye coordination’) e.g. tools/cars/beads/rattles/crayons? (PD):
Can your child use a crayon or a pencil. If so, are they able to use standard sized crayons and pencils and how do they hold them, for example, do they hold with their whole hand or can they hold with their thumb and 2 fingers? (PD):
How would you best describe your child’s preferences to playing indoors and outside/open spaces? (PD):
What does ‘being healthy’ and ‘being safe’ mean to your child? (PD):
What skills has your child mastered in order to be more independent e.g. dressing, communicating, teeth brushing, toileting, feeding. How would they indicate they need help? (PD):
Does your child enjoy physical play, for example, dance, running, climbing? (PD):
How does your child react to new experiences/change? (PSED):
How does your child react to people they don’t know well? (PSED):
Is your child keen/able to share and play alongside other children yet? (PSED):
What is your child’s experience of being around other children? (PSED):
How does your child best express themselves e.g. when excited, unsure or in a new situation? (PSED):
Would your child know that some behaviour is unacceptable? Could they tell you why? (PSED):
How does your child react if they become frustrated? (PSED):
Does your child understand the concept of sharing and taking turns? (PSED):
Does your child recognise any letters of the alphabet or any common words? (L):
Does your child enjoy using pens, pencils, chalks or paints for drawing and painting? (L):
Is your child able to write any letters or words? Please give details. (L):
Can your child listen with interest when adults read stories to them? (L):
Does your child show curiosity about numbers? For example, do they use number language such as ‘one, two, three, lots, hundreds, more, less, how many’ in their play? (M):
Can they count from 0-5, 0-10, 0-20 etc? If they can count to 5, would they be able to give you 2 items if you asked for them? (M):
Can they ‘count’ in a variety of situations? (M):
Does your child understand one more or one less than a given number consistently? (M):
Can they add or subtract single digit numbers using objects? (M):
Does your child understanding doubling, halving or sharing? (M):
Does your child use everyday language to talk about size, weight, capacity, position, distance, time and money to compare quantities? If so, please could you give some examples. (M):
Do they recognise, create and describe patterns? (M):
Can your child recognise shapes? If so, please write which ones? (M):
Is your child curious and interested in the world around them, for example, plants, animals, weather and how things work? Can they recognise how the environment changes from season to season? (UW):
Does your child understand about similarities and differences between themselves and others? (UW):
Does your child understand about different traditions? For example, Christmas, Chinese New Year, Diwali etc. (UW):
Does your child have access to and show interest in toys that incorporate technology at home? For example, lifting, pulling, pressing parts of toys, books and domestic equipment (remote controls, torches). (UW):
Does your child have access to a computer at home and how confident are they at using it? (UW):
